Organization
NU ELEGANCE HAIR PALACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HALL CERTIFIED HAIR LOSS (CERTIFIED HAIR LOSS SPECIALIST)
(520) 224-5054
Entity
Organization
Contact information
Practice address
640 E FRY BLVD, SIERRA VISTA, AZ 85635-1825
(520) 216-0081
Mailing address
640 E FRY BLVD, SIERRA VISTA, AZ 85635-1825
(520) 216-0081
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
10901826
AZ
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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