Organization · NPI-2

A Diva'S Dream Salon LLC

Specialist, Prosthetics Case Management · Warrensville Heights, OH

NPI number1780197285
StatusActive
Last updated in NPPESNov 7, 2017

Details

NPI
1780197285
Entity type
Organization (NPI-2)
Legal business name
A Diva'S Dream Salon LLC
Organization subpart
No
Enumeration date
Nov 7, 2017
Last updated
Nov 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1744P3200X Specialist, Prosthetics Case Management––Yes

Practice location

23054 Emery Rd
Warrensville Heights, OH 44128-5135

Phone 216-292-1313

Mailing address

23054 Emery Rd
Warrensville Heights, OH 44128-5135

Phone 216-292-1313

Authorized official

Reesa Lanette Brown
Certified Hair Loss Specialis
2162921313

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