Organization
LONDYN DIOR SALON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA MACKLIN (HAIR LOSS SPECIALIST/OWNER)
(856) 200-6370
Entity
Organization
Contact information
Practice address
1 BERLIN RD BLDG 4, CLEMENTON, NJ 08021-4548
(856) 200-6370
Mailing address
256 LA CASCATA, CLEMENTON, NJ 08021-4919
(856) 200-6370
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
32WG06329200
NJ
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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