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Mrs. Sishana Janelle Gerald, HAIRLOSSSPECIALIST
Prosthetics Case Management in Tucson, Arizona
NPI 1942626486

Sishana Janelle Gerald is a Prosthetics Case Management based in Tucson, AZ and is specialized in Prosthetics Case Management. Sishana Janelle Gerald practices in Tucson, AZ and has the professional credentials of HAIRLOSSSPECIALIST. The NPI Number for Sishana Janelle Gerald is 1942626486 and holds a License No. 10502032 (Arizona).

The current practice location address for Sishana Janelle Gerald is 4045 E Broadway Blvd, Tucson, AZ and can be reached out via phone at 520-981-7380.

Location: 4045 E Broadway Blvd, Tucson, AZ, 85711-4302
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Provider Profile Details
NPI Number
1942626486
Provider Name
Sishana Janelle Gerald
Credential
HAIRLOSSSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
4045 E Broadway Blvd, Tucson, AZ, 85711-4302
Phone Number
520-981-7380
Fax Number
Provider Enumeration Date
03/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1744P3200X 01 NON SURGICAL HAIR REPLACEMENT
institution
Provider Business Practice Location Address Details
Address
4045 E Broadway Blvd
City
State
Zip
85711-3454
Phone Number
520-981-7380
Fax Number
person
Provider Business Mailing Address Details
Address
4045 E Broadway Blvd
City
State
Zip
85711-3454
Phone Number
520-981-7380
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
10502032 (Arizona)
Definition
Definition to come...
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