Organization
BARBIES LUXURY HAIR STUDIO LLC
Active
Other names
Luxury Hair ER
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTORIA EVANS (OWNER)
(954) 274-1183
Entity
Organization
Contact information
Practice address
5612 PEMBROKE RD STE D, WEST PARK, FL 33023-2304
(954) 274-1183
Mailing address
5612 PEMBROKE RD STE D, WEST PARK, FL 33023-2304
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
01/04/2023
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