Organization
SHANNA HAIR BAR
Active
Other names
shanna hair bar medical wigs, shanna hair bar
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA KAY DIANDRA KNIGHT (OWNER)
(571) 776-6746
Entity
Organization
Contact information
Practice address
9625 SURVEYOR CT STE 110, MANASSAS, VA 20110-4408
(571) 776-6746
(276) 332-8969
Mailing address
9625 SURVEYOR CT STE 110, MANASSAS, VA 20110-4408
(571) 776-6746
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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