Xtend My Hair Salon & Co LLC

NPI #1093322687 in Malvern, Arkansas

Provider Information

NPI Number
1093322687
Entity Type
Organization
Organization Name
Xtend My Hair Salon & Co LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 28, 2020
Last Updated
Apr 25, 2022

Practice Location

Address
1004 DYER ST
ZIP Code
72104-5255
Phone
(501) 732-6041

Authorized Official

Name
MR. TERRENCE RANDELL MITCHELL, HAIR LOSS SPECIALIST
Title
CERTIFIED HAIR LOSS SPECIALIST
Phone
(501) 732-6041

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management
Prosthetic/Orthotic Supplier
Durable Medical Equipment & Medical Supplies

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