Organization
ALYCE & TRE'SURES HAIR GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCE WOOTEN (CERTIFIED HAIR LOSS SPECIALIST)
(717) 231-5599
Entity
Organization
Contact information
Practice address
1308 N 3RD ST, HARRISBURG, PA 17102-1969
(717) 231-5599
Mailing address
1308 N 3RD ST, HARRISBURG, PA 17102-1969
(717) 231-5599
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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