Provider Demographics
NPI:1255956181
Name:NATURAL TOUCH HAIR STUDIO INC
Entity type:Organization
Organization Name:NATURAL TOUCH HAIR STUDIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-535-7542
Mailing Address - Street 1:9560 MARLBORO PIKE STE 105
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3770
Mailing Address - Country:US
Mailing Address - Phone:301-535-7542
Mailing Address - Fax:
Practice Address - Street 1:9560 MARLBORO PIKE STE 105
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3770
Practice Address - Country:US
Practice Address - Phone:301-535-7542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD407120OtherCOSMETOLOGY LICENCE