SEYMOURA RAYCHANEL WILSON CRT HAIR LOSS SPT NPI 1134719800

NPI Information

NPI: 1134719800
Provider Name: SEYMOURA RAYCHANEL WILSON, CRT HAIR LOSS SPT
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
3411 CRENSHAW BLVD APT 511
LOS ANGELES, CA
ZIP 90016
Phone: (323) 614-1465
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Seymoura Raychanel Wilson, CRT HAIR LOSS SPT is a prosthetics case management specialist in Los Angeles, CA. Seymoura Raychanel Wilson, CRT HAIR LOSS SPT NPI is 1134719800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3411 CRENSHAW BLVD APT 511
LOS ANGELES, CA
ZIP 90016-879
Phone: (323) 614-1465

The enumeration date for this NPI number is 1/26/2021 and was last updated on 1/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1744P3200X	Specialist	Prosthetics Case Management	Yes
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
3	335E00000X	Prosthetic/Orthotic Supplier		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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