New Hair, LLC

NPI #1013289743 in Green Bay, Wisconsin

Provider Information

NPI Number
1013289743
Entity Type
Organization
Organization Name
New Hair, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jan 26, 2012
Last Updated
Jan 21, 2022

Practice Location

Address
1445 NORTH ROAD
Address 2
UNIT #1
ZIP Code
54313-5725
Phone
(920) 393-4912

Authorized Official

Name
MRS. STACEY MARIE NELLEN-KOLZE, CMF
Title
OWNER/MEMBER
Phone
(920) 393-4912

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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