NPI 1316567795

Gyzele's Hair Boutique

Organisation Prosthetic/Orthotic Supplier Cleveland, MS

Practice location

Address: 1104 W Sunflower Rd, Cleveland, MS 38732-2440
Phone: (662) 394-5084
Fax: (662) 262-5995

Authorised official

Name: Gyzele Brown
Title: Owner
Phone: (662) 394-5084

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1316567795
Entity type: Organization
NPI issued: 25 Apr 2020
Record last updated: 25 Apr 2020

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.