Organization
DISTRICT 127 HAIR ATELIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEECE EARLE (CEO)
(402) 522-6121
Entity
Organization
Contact information
Practice address
3620 N 163RD PLZ # STUDIOL, OMAHA, NE 68116-2164
(402) 522-6121
Mailing address
200 S 21ST ST STE 400A, LINCOLN, NE 68510-1044
(402) 522-6121
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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