Individual
ALECIA PASSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 LEONARD AVE, NEPTUNE, NJ 07753-4514
(848) 234-7588
Mailing address
136 LEONARD AVE, NEPTUNE, NJ 07753-4514
(848) 234-7588
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-1209324
HAIR EXTENSION AND CUSTOMIZED WIGS
NJ
Enumeration date
05/14/2022
Last updated
05/14/2022
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