Organization
HEAD QUARTERS CUSTOM HAIR DESIGN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZANDRA MOORE (OWNER)
(850) 816-0122
Entity
Organization
Contact information
Practice address
948 S HIGHWAY 29, CANTONMENT, FL 32533-6416
(850) 816-0122
Mailing address
8301 RANGER DR, PENSACOLA, FL 32534-3504
(850) 816-0122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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