Organization
MY HAIR BOUTIQUE LLC
Active
Other names
The Hair Boutique LLC
Organization subpart
No
Provider details
NPI number
Authorized official
UNA MCKENZIE (CRANIAL PROSTHESIS SPECIALIST)
(215) 501-4023
Entity
Organization
Contact information
Practice address
400 W ROUTE 38 UNIT 1460, MOORESTOWN, NJ 08057-3219
(856) 386-0406
Mailing address
209 FLORENCE AVE, ATCO, NJ 08004-2354
(215) 501-4023
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
09/08/2023
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