Doctor Name: | ANDREA HAYES |
NPI Number: | 1033505201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CERTIFIED HAIR LOSS |
License Number: | |
Business Practice Address: | 7127 Allentown Rd Ste 205 Ft Washington, MD - 207441000 |
Business Phone Number: | 2404593062 |
Business Fax Number: | |
Mailing Address: | 6480 Brick Hearth Ct, Brick Hearth Ct ALEXANDRIA |
State: | VA |
Postal Code: | 223063308 |
Phone Number: | 3602509721 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2015 |
NPI Last Update Date: | 04/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |