Organization
LIVE IT UP HAIR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOBAL (OWNER)
(862) 368-4219
Entity
Organization
Contact information
Practice address
82 CLARK AVE, BLOOMFIELD, NJ 07003-3747
(862) 368-4219
Mailing address
82 CLARK AVE, BLOOMFIELD, NJ 07003-3747
(862) 368-4219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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