Khadijah Davies, HAIRLOSSSPECIALIST

Individual provider Prosthetics Case Management · NPI 1316535800

Khadijah Davies, HAIRLOSSSPECIALIST is a Prosthetics Case Management in Fair Lawn, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in: NJ
In the registry since: 2021

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Practice location Address checks out

24-11 Broadway
Fair Lawn, NJ 07410-3053
Phone: (973) 460-5835

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Specialties & licences

Prosthetics Case Management (primary)	Taxonomy 1744P3200X · Licence 32WG02347900 (NJ)

Record details

NPI number	1316535800
Entity type	Individual (Type 1)
Gender	Female
Credentials	HAIRLOSSSPECIALIST
Sole proprietor	Yes
NPI enumerated	January 9, 2021
Last updated in NPPES	January 9, 2021
Certification date	January 9, 2021