Organization
HAIR RESPONSE
Active
Other names
Hair Response
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VICKY ANN GARLAND CERTIFIED BREAST PRO (OWNER)
(920) 437-0707
Entity
Organization
Contact information
Practice address
2301 RIVERSIDE DR, HAIR RESPONSE, GREEN BAY, WI 54301
(920) 619-3662
Mailing address
2301 RIVERSIDE DR, HAIR RESPONSE, GREEN BAY, WI 54301
(920) 619-3662
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
06/23/2008
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