Organization
NYC HOUSE OF HAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIESE WALLACE (OWNER)
(929) 499-5020
Entity
Organization
Contact information
Practice address
347A BROADWAY, BAYONNE, NJ 07002-3521
(929) 499-5020
(209) 330-6388
Mailing address
347A BROADWAY, BAYONNE, NJ 07002-3521
(929) 499-5020
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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