Organization
F8THFULHAIRCOMPANYLLC
Active
Other names
F8thfulHairCompanyLLC
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA JACKSON (OWNER/CRANIAL PROSTHETIC SPECIALIST)
(323) 972-8924
Entity
Organization
Contact information
Practice address
3101 OCEAN PARK BLVD STE 100, SANTA MONICA, CA 90405-3029
(323) 972-8924
Mailing address
3101 OCEAN PARK BLVD STE 100, SANTA MONICA, CA 90405-3029
(323) 972-8924
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/19/2023
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