NPI 1063117810

Forever Diaz Salon & Spa, LLC

Organisation Prosthetic/Orthotic Supplier Rosedale, MD

Practice location

Address: 8237 Philadelphia Rd, Rosedale, MD 21237-2865
Phone: (410) 497-0782

Authorised official

Name: Candace Joy Diaz
Title: Ceo
Phone: (443) 854-3307

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Maryland →

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in Maryland →

Registry record

NPI: 1063117810
Entity type: Organization
NPI issued: 3 Apr 2023
Record last updated: 3 Apr 2023

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.