Organization
MIRACLE HAIR STUDIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHELLE WASHINGTON (OWNER)
(510) 827-5885
Entity
Organization
Contact information
Practice address
2633 TELEGRAPH AVE STE 107, OAKLAND, CA 94612-1744
(510) 827-5885
(510) 663-1200
Mailing address
2633 TELEGRAPH AVE STE 107, OAKLAND, CA 94612-1744
(510) 827-5885
(510) 663-1200
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/02/2025
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