Organization
HAIR AND SCALP RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKEMASHERRON HAYES (OWNER)
(661) 860-8202
Entity
Organization
Contact information
Practice address
13724 BURBANK BLVD, SHERMAN OAKS, CA 91401-5039
(661) 860-8202
Mailing address
13724 BURBANK BLVD, SHERMAN OAKS, CA 91401-5039
(661) 860-8202
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
07/02/2020
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