Provider Demographics
NPI:1598311284
Name:ALONDRA HAIR & BEAUTY
Entity Type:Organization
Organization Name:ALONDRA HAIR & BEAUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-383-3760
Mailing Address - Street 1:1704 POAGE AVE
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-6330
Mailing Address - Country:US
Mailing Address - Phone:254-383-3760
Mailing Address - Fax:
Practice Address - Street 1:1704 POAGE AVE
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-6330
Practice Address - Country:US
Practice Address - Phone:254-383-3760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-17
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier