Organization
SALON DEJUAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEJUAN BURNS COSMETOLOGIST (OWNER)
(202) 802-3098
Entity
Organization
Contact information
Practice address
3737 BRANCH AVE STE D14, TEMPLE HILLS, MD 20748-1405
(202) 802-3098
Mailing address
6600 HORSESHOE RD, CLINTON, MD 20735-2537
(202) 802-3098
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MD
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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