Organization
CHALET HAIR & WIG DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA L FERNALD (OWNER)
(860) 889-4030
Entity
Organization
Contact information
Practice address
1 CRANE AVE, NORWICH, CT 06360-5405
(860) 889-4030
Mailing address
1 CRANE AVE, NORWICH, CT 06360-5405
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CT
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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