Organization
CHANEL'S HAIR BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS RHODEN (OWNER)
(619) 200-3186
Entity
Organization
Contact information
Practice address
8818 LA MESA BLVD, LA MESA, CA 91942-5407
(619) 200-3186
Mailing address
8818 LA MESA BLVD, LA MESA, CA 91942-5407
(619) 200-3186
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
03/14/2018
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