OrganizationActive
Hair Icon Prothisis Supply
NPI 1669852620 · Customized Equipment (DME) · Suffolk, VA
Provider details
- NPI number
- 1669852620
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Shiree Mcclendon, Owner(757) 292-1364
Specialties & taxonomies
Suppliers
Practice location
6422 Aberdeen Pl
Suffolk, VA 23435-3039
Phone: (757) 292-1364
Approximate (ZIP-level) locationGet directions
Mailing address
6422 Aberdeen Pl
Suffolk, VA 23435-3039
Registry dates
- Enumerated
- 2015-06-04
- Last updated
- 2015-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.