Organization
THE HAIR LADY LLC, KATHERINE FAGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE ANNE FAGAN (OWNER)
(814) 954-0143
Entity
Organization
Contact information
Practice address
2428 SETTER RUN LN, STATE COLLEGE, PA 16801-2577
(814) 954-0143
Mailing address
2428 SETTER RUN LN, STATE COLLEGE, PA 16801-2577
(814) 954-0143
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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