Organization
FANCY HAIR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCA EBIASAH (OWNER)
(301) 580-6541
Entity
Organization
Contact information
Practice address
3704 E WEST HWY STE 121, HYATTSVILLE, MD 20782-2355
(301) 580-6541
Mailing address
3304 WEEPING WILLOW CT APT 42, SILVER SPRING, MD 20906-2531
(301) 580-6541
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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