Individual provider · Type 1 NPI

Khadijah Davies, HAIR LOSS SPECIALIST

Prosthetics Case Management · Fair Lawn, NJ

NPI number 1316535800 Active

Practice location

24-11 Broadway
Fair Lawn, NJ 07410-3053

Call (973) 460-5835 Map

Mailing address

200-214 20th Ave Apt 1D
Paterson, NJ 07501-3720

Specialties and licenses

Taxonomy	Code	License
Prosthetics Case Management Primary	1744P3200X	32WG02347900 (NJ)

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

About NPI 1316535800

Khadijah Davies, HAIR LOSS SPECIALIST's National Provider Identifier is 1316535800, issued on Jan 9, 2021. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jan 9, 2021.