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Organization

HER GLORY HAIR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KLAITON JOHNSON (MANAGER/OWNER)
(702) 580-6625
Entity
Organization

Contact information

Practice address
730 W CHEYENNE AVE STE 150, NORTH LAS VEGAS, NV 89030-7852
(702) 580-6625
Mailing address
7350 W CENTENNIAL PKWY UNIT 2018, LAS VEGAS, NV 89131-1646
(702) 580-6625

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
12/14/2023
Last updated
12/14/2023
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