Organization
1ST IMPRESSION SALON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKIYYAH SULUKI (OWNER)
(267) 970-3888
Entity
Organization
Contact information
Practice address
6818 MARKET ST, UPPER DARBY, PA 19082-2439
(267) 970-3888
Mailing address
6818 MARKET ST, UPPER DARBY, PA 19082-2439
(267) 970-3888
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
CT020639L
PA
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/23/2018
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