My Hair Boutique LLC
NPI #1477233112 in Moorestown, New Jersey
Provider Information
- NPI Number
- 1477233112
- Entity Type
- Organization
- Organization Name
- My Hair Boutique LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 18, 2023
- Last Updated
- Sep 8, 2023
Practice Location
- Address
- 400 W ROUTE 38 UNIT 1460
- City
- Moorestown
- State
- New Jersey
- ZIP Code
- 08057-3219
- Phone
- (856) 386-0406
Authorized Official
- Name
- UNA MCKENZIE
- Title
- CRANIAL PROSTHESIS SPECIALIST
- Phone
- (215) 501-4023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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