Organization
GYZELE'S HAIR BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GYZELE BROWN (OWNER)
(662) 394-5084
Entity
Organization
Contact information
Practice address
1104 W SUNFLOWER RD, CLEVELAND, MS 38732-2440
(662) 394-5084
(662) 262-5995
Mailing address
1104 W SUNFLOWER RD, CLEVELAND, MS 38732-2440
(662) 394-5084
(662) 262-5995
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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