NPI 1689442196

Her Glory Hair LLC

Organisation Prosthetic/Orthotic Supplier North Las Vegas, NV

Practice location

Address: 730 W Cheyenne Ave STE 150, North Las Vegas, NV 89030-7852
Phone: (702) 580-6625
Mailing address: 7350 W Centennial Pkwy Unit 2018, Las Vegas, NV 89131-1646

Authorised official

Name: Klaiton Johnson
Title: Manager/Owner
Phone: (702) 580-6625

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Nevada →

Registry record

NPI: 1689442196
Entity type: Organization
NPI issued: 14 Dec 2023
Record last updated: 14 Dec 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.