Organization
SBLHAIRLOSS LLC
Active
Other names
SBLHairloss
Organization subpart
No
Provider details
NPI number
Authorized official
LARONNE QUARLES (OWNER)
(609) 553-7079
Entity
Organization
Contact information
Practice address
1420 S NEW RD UNIT 7, PLEASANTVILLE, NJ 08232-3728
(609) 666-4674
Mailing address
1420 S NEW RD UNIT 7, PLEASANTVILLE, NJ 08232-3728
(609) 553-7079
(484) 210-4484
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
10/20/2024
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