Organization
TARA HOUSE OF STYLEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MARCELL PETTIFORD (HAIR LOSS PRACTITIONER)
(443) 858-7705
Entity
Organization
Contact information
Practice address
3530 E NORTHERN PKWY, BALTIMORE, MD 21206-1632
(443) 858-7705
Mailing address
3530 E NORTHERN PKWY, BALTIMORE, MD 21206-1632
(443) 858-7705
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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