Provider Demographics
NPI:1215656871
Name:HAIR WITH BREANNA
Entity type:Organization
Organization Name:HAIR WITH BREANNA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-931-3257
Mailing Address - Street 1:3031 PARIS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-1715
Mailing Address - Country:US
Mailing Address - Phone:504-534-8005
Mailing Address - Fax:985-299-2409
Practice Address - Street 1:3031 PARIS AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-1715
Practice Address - Country:US
Practice Address - Phone:504-534-8005
Practice Address - Fax:985-299-2409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAIR WITH BREANNA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier