Organization
WOMAN'S GLORY HAIR REPLACEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTESE OLIVER (OWNER)
(301) 728-4769
Entity
Organization
Contact information
Practice address
929 SLOAN AVE, WALDORF, MD 20602-2871
(301) 728-4769
Mailing address
929 SLOAN AVE, WALDORF, MD 20602-2871
(301) 728-4769
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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