Provider Demographics
NPI:1588159099
Name:BELL, JOYCE '1401 HAIR DES
Entity type:Individual
Prefix:
First Name:JOYCE '1401 HAIR DES
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 PENNSYLVANIA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4125
Mailing Address - Country:US
Mailing Address - Phone:302-655-1401
Mailing Address - Fax:302-472-0416
Practice Address - Street 1:1401 PENNSYLVANIA AVE STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4125
Practice Address - Country:US
Practice Address - Phone:302-655-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist