Organization
A DIVA'S DREAM SALON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REESA LANETTE BROWN CERTIFIED HAIR LOSS (CERTIFIED HAIR LOSS SPECIALIS)
(216) 292-1313
Entity
Organization
Contact information
Practice address
23054 EMERY RD, WARRENSVILLE HEIGHTS, OH 44128-5135
(216) 292-1313
Mailing address
23054 EMERY RD, WARRENSVILLE HEIGHTS, OH 44128-5135
(216) 292-1313
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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