Organization
HAIR D211 BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIYA JOHNSON (OWNER)
(323) 273-9072
Entity
Organization
Contact information
Practice address
4239 N BELLFLOWER BLVD, LONG BEACH, CA 90808-1429
(323) 273-9072
Mailing address
4239 N BELLFLOWER BLVD, LONG BEACH, CA 90808-1429
(323) 273-9072
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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