Organization
THE CREATIVES HAIR LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA JOHNSON SPECIALIST (CEO)
(318) 754-9227
Entity
Organization
Contact information
Practice address
1528 BARKSDALE BLVD, BOSSIER CITY, LA 71111-4602
(318) 754-9227
Mailing address
625 BRINGHURST DR, SHREVEPORT, LA 71106-4009
(318) 754-9227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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