Organization
D.D. DAUGHTERS LACE WIG BEAUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYISHA DAKETA STRATTON COSMETOLOGIST (CRANIAL PROSTHESIS SPECIALIST/OWNER)
(267) 453-9855
Entity
Organization
Contact information
Practice address
52 N YORK ROAD, SALON, WILLOW GROVE, PA 19090
(215) 346-2555
(215) 346-2555
Mailing address
402 W TABOR RD, PHILADELPHIA, PA 19120-2810
(267) 453-9855
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
03/24/2026
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