Organization
G CASAMERA HAIR SALON & DAY SPA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE CASAMERA REAVIS III CO (OWNER)
(215) 868-6964
Entity
Organization
Contact information
Practice address
901 S 55TH ST, PHILADELPHIA, PA 19143-4005
(215) 474-4767
(215) 474-4767
Mailing address
901 S 55TH ST, PHILADELPHIA, PA 19143-4005
(215) 474-4767
(215) 474-4767
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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