Organization
CANDY HAIR LLC
Active
Other names
Medical Wig Supply
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI A RACHAL MS (OWNER OPERATOR)
(702) 904-2640
Entity
Organization
Contact information
Practice address
9220 ALBUS HILLS AVE, LAS VEGAS, NV 89143-1232
(702) 904-2640
(702) 446-6290
Mailing address
7181 N HUALAPAI WAY STE 130-933, LAS VEGAS, NV 89166-1115
(702) 904-2640
(702) 446-6290
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
05/07/2026
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