NPI 1023497120

D L Douglas Hair Designs LLC

Organisation Prosthetic/Orthotic Supplier Haddon Township, NJ

Practice location

Address: 631 White Horse Pike, Haddon Township, NJ 08107-1246
Phone: (856) 477-2381
Mailing address: 1009 Walnut Ln, Mullica Hill, NJ 08062-2050

Authorised official

Name: Deanna L Douglas
Title: Certified Hair Loss Specialist/Owne
Phone: (856) 495-8108

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 32WD03145600 (NJ)

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Registry record

NPI: 1023497120
Entity type: Organization
NPI issued: 21 May 2015
Record last updated: 21 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.