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Mane Of Your Dream
Prosthetic/Orthotic Supplier in Rancho Cucamonga, California
NPI 1629603741

Mane Of Your Dream is a Prosthetic/Orthotic Supplier based in Alta Loma, CA. Mane Of Your Dream practices in Rancho Cucamonga, CA. The NPI Number for Mane Of Your Dream is 1629603741 and holds a License No. (California).

The current practice location address for Mane Of Your Dream is 11553 Foothill Blvd Ste 101, Rancho Cucamonga, CA and can be reached out via phone at 909-969-1833.

Location: 11553 Foothill Blvd Ste 101, Rancho Cucamonga, CA, 91701-6048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629603741
Provider Name
Mane Of Your Dream
Credential
Provider Entity Type
Organization
Address
11553 Foothill Blvd Ste 101, Rancho Cucamonga, CA, 91701-6048
Phone Number
909-969-1833
Fax Number
Provider Enumeration Date
03/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KK347413 01 CA COSMETOLOGY LICENSE
institution
Provider Business Practice Location Address Details
Address
11553 Foothill Blvd Ste 101
City
Rancho Cucamonga
State
California
Zip
91730-0731
Phone Number
909-969-1833
Fax Number
person
Provider Business Mailing Address Details
Address
11553 Foothill Blvd Ste 101
City
Rancho Cucamonga
State
California
Zip
91730-0731
Phone Number
909-969-1833
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
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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