Healthcare Provider Details

I. General information

NPI: 1730893348
Provider Name (Legal Business Name): AHEAD OF BEAUTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14319 N DAKOTA ST
SPOKANE WA
99208-9541
US

IV. Provider business mailing address

14319 N DAKOTA ST
SPOKANE WA
99208-9541
US

V. Phone/Fax

Practice location:
  • Phone: 509-426-4101
  • Fax: 866-635-0615
Mailing address:
  • Phone: 509-426-4101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASIA CHAPMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 509-426-4101