Organization
AUNNY SYBLE HAIRDRESSING LLC
Active
Other names
Prolifik Hair Salon
Organization subpart
No
Provider details
NPI number
Authorized official
TRENTON DEBTH COSMETOLOGIST (OWNER)
(972) 342-5891
Entity
Organization
Contact information
Practice address
8901 TEHAMA RIDGE PKWY STE 123, FORT WORTH, TX 76177-2032
(817) 502-9777
Mailing address
4313 LINLEY LN, FORT WORTH, TX 76244-6352
(817) 502-9777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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