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NPI Code Detail

MEDICARE: JOLYNN HAIR DESIGNZ, LLC.

MEDICARE: JOLYNN HAIR DESIGNZ, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1003565961
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOLYNN HAIR DESIGNZ, LLC.
Provider Business Mailing Address
First Line : 1806 E ALTA VISTA RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-4550
Country : US
Telephone Number : 832-739-1807
Fax Number :
Provider Business Practice Location Address
First Line : 1204 E BASELINE RD STE 106
Second Line :
City : TEMPE
State : AZ
Zip : 85283-1447
Country : US
Telephone Number : 480-992-0932
Fax Number : 480-992-0933
Authorized Official
Title or Position : CEO
Name : STEPHANIE CARRIGAN
Credential :
Telephone Number : 832-739-1807
Provider Enumeration Date : 03/19/2022
Last Update Date : 05/25/2022

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Directions to “JOLYNN HAIR DESIGNZ, LLC. ” Practice Location

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