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Organization

MY HAIR DATE INC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FARZANA FARZAM COSMETOLOGIST (OWNER)
(650) 799-0475
Entity
Organization

Contact information

Practice address
MY HAIR DATE, 335 PLAZA CENTRAL, LOS ALTOS, CA 94022
(650) 799-0475
Mailing address
335 PLAZA CENTRAL, LOS ALTOS, CA 94022-2900
(650) 799-0475

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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