Salon One Twenty Four L.l.c.

NPI #1679235303 in Camden, Arkansas

Provider Information

NPI Number
1679235303
Entity Type
Organization
Organization Name
Salon One Twenty Four L.l.c.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 11, 2021
Last Updated
Dec 26, 2023

Practice Location

Address
124 E WASHINGTON ST
City
Camden
ZIP Code
71701-4010
Phone
(870) 454-7017

Authorized Official

Name
LAVON CHERALE GREEN, PROSTHETICSPECIALIST
Title
CRANIAL PROSTHETIC SPECIALIST
Phone
(870) 675-1246

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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