Divine Hair Design Salon & Boutique

NPI #1245823459 in Killeen, Texas

Provider Information

NPI Number: 1245823459
Entity Type: Organization
Organization Name: Divine Hair Design Salon & Boutique
Primary Specialty: Specialist
Enumeration Date: Feb 18, 2021
Last Updated: Feb 2, 2023

Practice Location

Address: 2201 W STAN SCHLUETER LOOP SUITE A-400
City: Killeen
State: Texas
ZIP Code: 76549-7654
Phone: (254) 768-0058

Authorized Official

Name: MRS. SARAH JANE HORTON
Title: OWNER
Phone: (254) 768-0058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Specialist	174400000X	Primary

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