NPI 1154101319

G Casamera Hair Salon & Day Spa, LLC.

Organisation Prosthetic/Orthotic Supplier Philadelphia, PA

Practice location

Address: 901 S 55th St, Philadelphia, PA 19143-4005
Phone: (215) 474-4767
Fax: (215) 474-4767

Authorised official

Name: Gene Casamera Reavis
Title: Owner
Phone: (215) 868-6964

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1154101319
Entity type: Organization
NPI issued: 4 Oct 2023
Record last updated: 4 Oct 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.