Healthcare Provider Details

I. General information

NPI: 1558699645
Provider Name (Legal Business Name): SEX XI HAIR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2009
Last Update Date: 12/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 RED EUCALYPTUS DR
HENDERSON NV
89015-7485
US

IV. Provider business mailing address

393 RED EUCALYPTUS DR
HENDERSON NV
89015-7485
US

V. Phone/Fax

Practice location:
  • Phone: 877-351-2505
  • Fax: 877-351-2505
Mailing address:
  • Phone: 877-351-2505
  • Fax: 877-351-2505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA M TURNER
Title or Position: OWNER NON SURGICAL HAIR CONSULTANT
Credential:
Phone: 877-351-2505