| Desire Exotic Hair Llc | |
|
8929 Pocahontas Trl Provdence Frg VA 23140-3308 | |
| (718) 730-4705 | |
| Not Available |
| Full Name | Desire Exotic Hair Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 8929 Pocahontas Trl, Provdence Frg, Virginia |
| Authorized Official Name and Position | Miriam Christian (CEO) |
| Authorized Official Contact | 7187304705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desire Exotic Hair Llc 8929 Pocahontas Trl Provdence Frg VA 23140-3308 Ph: (718) 730-4705 | Desire Exotic Hair Llc 8929 Pocahontas Trl Provdence Frg VA 23140-3308 Ph: (718) 730-4705 |
| NPI Number | 1164208013 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164208013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |