MEDICARE: THE HAIR ARTISTRY INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1972341360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HAIR ARTISTRY INC

Provider Business Mailing Address
First Line	:	2101 SW 101ST AVE STE 207
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-5090
Country	:	US
Telephone Number	:	786-487-7344
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 SW 101ST AVE STE 207
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-5090
Country	:	US
Telephone Number	:	786-487-7344
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TABITHA TERRELL WHITE
Credential	:
Telephone Number	:	786-487-7344

Provider Enumeration Date	:	07/18/2024
Last Update Date	:	07/18/2024

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Directions to “THE HAIR ARTISTRY INC ” Practice Location

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