Organization
NEDIA GROUP LLC
Active
Other names
Fantasia Salon and Hair Loss Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA DAWN HALEK-SCHOENACK (OWNER)
(651) 470-7709
Entity
Organization
Contact information
Practice address
2756 DOUGLAS DR N, MINNEAPOLIS, MN 55422-2402
(651) 470-7709
Mailing address
2756 DOUGLAS DR N, MINNEAPOLIS, MN 55422-2402
(651) 470-7709
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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