Organization
MAIN ST HAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDIAMBOLO YINDJA LOKOTO CRANIAL PROSTHESIS (CRANIAL PROSTHESIS SPECIALIST)
(925) 339-2395
Entity
Organization
Contact information
Practice address
260 MAIN ST, PLEASANTON, CA 94566-7323
(925) 339-2395
Mailing address
260 MAIN ST, PLEASANTON, CA 94566-7323
(925) 339-2395
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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