Fix My Pretty Hair Studio
Organization Active NPI Specialist · Patterson, CA
NPI 1619512985 · NPPES record last updated Nov 11, 2019
Key facts
- NPI
- 1619512985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- FIX MY PRETTY HAIR STUDIO
- Practice address
- 220 N El Circulo Ave
Patterson, CA 95363-2521 - Phone
- (209) 203-6609
- NPI assigned
- Nov 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Gwynderlyn Jenkins
- Title
- Owner
- Phone
- (209) 203-6609
Practitioners 1
National Provider Directory
Locations
220 N El Circulo Ave
Patterson, CA 95363
Phone (209) 203-6609
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
220 N El Circulo Ave
Patterson, CA 95363-2521
Mailing address
220 N El Circulo Ave
Patterson, CA 95363-2521
Phone (209) 203-6609
Other providers in Patterson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.