Organization
T93HAIRCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATERA NELSON COSMETOLOGISTS (CRANIAL PROSTHESIS SPECIALIST)
(412) 567-6461
Entity
Organization
Contact information
Practice address
140 BROWNSVILLE RD UNIT 59212, PITTSBURGH, PA 15210-6614
(412) 567-6461
Mailing address
140 BROWNSVILLE RD UNIT 59212, PITTSBURGH, PA 15210-6614
(412) 567-6461
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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