| NPI | 1871089045 |
|---|---|
| Doing Business As | FANTASIA SALON AND HAIR LOSS CENTER |
| Entity Type | Organization |
| Authorized Contact | ALISA DAWN HALEK-SCHOENACK Owner 651-470-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |