Organization
NU ELEGANCE HAIR SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HALL CERTIFIED HAIR LOSS (CERTIFIED HAIR LOSS SPECIALIST)
(520) 216-0081
Entity
Organization
Contact information
Practice address
640 E FRY BLVD, SIERRA VISTA, AZ 85635-1825
(520) 224-5054
Mailing address
640 E FRY BLVD, SIERRA VISTA, AZ 85635-1825
(520) 224-5054
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
10901826
AZ
335E00000X
Prosthetic/Orthotic Supplier
10901826
AZ
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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