Individual
KHADIJAH DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
24-11 BROADWAY, FAIR LAWN, NJ 07410-3053
(973) 460-5835
Mailing address
200-214 20TH AVE APT 1D, PATERSON, NJ 07501-3720
(973) 460-5835
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
32WG02347900
NJ
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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