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Seymoura Raychanel Wilson, CRTHAIRLOSSSPT
Prosthetic/Orthotic Supplier in Los Angeles, California
NPI 1134719800

Seymoura Raychanel Wilson is a Prosthetic/Orthotic Supplier based in Los Angeles, CA. Seymoura Raychanel Wilson practices in Los Angeles, CA and has the professional credentials of CRTHAIRLOSSSPT. The NPI Number for Seymoura Raychanel Wilson is 1134719800 and holds a License No. (California).

The current practice location address for Seymoura Raychanel Wilson is 3411 Crenshaw Blvd Apt 511, Los Angeles, CA and can be reached out via phone at 323-614-1465.

Location: 3411 Crenshaw Blvd Apt 511, Los Angeles, CA, 90062-1316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134719800
Provider Name
Seymoura Raychanel Wilson
Credential
CRTHAIRLOSSSPT
Provider Entity Type
Individual
Gender
Female
Address
3411 Crenshaw Blvd Apt 511, Los Angeles, CA, 90062-1316
Phone Number
323-614-1465
Fax Number
Provider Enumeration Date
01/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3411 Crenshaw Blvd Apt 511
City
Los Angeles
State
California
Zip
90016-4879
Phone Number
323-614-1465
Fax Number
person
Provider Business Mailing Address Details
Address
3411 Crenshaw Blvd Apt 511
City
Los Angeles
State
California
Zip
90016-4879
Phone Number
323-614-1465
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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