NPI 1770154338

Deedra Smith, HAIRLOSSSPECIALIST

Practitioner Prosthetist Franklin Park, NJ

Practice location

Address: 24 Edward Dr, Franklin Park, NJ 08823-1664
Phone: (201) 275-8540

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1770154338
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2021
Record last updated: 6 Jul 2021

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.