Organization
DIVERSE HAIR EXPRESSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKEDA LINDSEY HAIR LOSS SPECIALIST (OWNER)
(937) 520-2783
Entity
Organization
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 520-2783
Mailing address
5124 MALIBU CT, DAYTON, OH 45426-2353
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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