Organization
DE'BORAH VIRTUOUS HANDS HAIR CLINIC LLC
Active
Other names
De'Borah Virtuous Hands Hair Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M HOOKS (HAIR STYLIST)
(919) 914-4197
Entity
Organization
Contact information
Practice address
11909 E DR MARTIN LUTHER KING JR BLVD, SEFFNER, FL 33584-4934
(919) 914-4197
Mailing address
10390 SCARLETT SKIMMER DR, RIVERVIEW, FL 33578-6277
(919) 914-4197
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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