Deedra Smith, HAIRLOSS SPECIALIST

NPI #1770154338 in Franklin Park, New Jersey

Provider Information

NPI Number: 1770154338
Entity Type: Individual
Name: Deedra Smith, HAIRLOSS SPECIALIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: HAIRLOSS SPECIALIST
Enumeration Date: Jul 6, 2021
Last Updated: Jul 6, 2021

Practice Location

Address: 24 EDWARD DR
City: Franklin Park
State: New Jersey
ZIP Code: 08823-1664
Phone: (201) 275-8540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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