Organization
NYLAH ALEASE HAIR COLLECTION LLC
Active
Other names
Nylah Alease Medical Rx
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE HARRIS (CRANIAL PROSTHESIS SPECIALIST)
(800) 212-2682
Entity
Organization
Contact information
Practice address
22725GREATER MACK AVE, STE 301B PMB 501, ST CLAIR SHORES, MI 48080
(800) 212-2682
Mailing address
22725GREATER MACK AVE, STE 301B PMB 501, ST CLAIR SHORES, MI 48080
(800) 212-2682
(877) 349-5853
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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