Natasha Wilson, HAIR LOSS SPECIALIST

NPI #1255893434 in Picayune, Mississippi

Provider Information

NPI Number: 1255893434
Entity Type: Individual
Name: Natasha Wilson, HAIR LOSS SPECIALIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Pathology - Phlebotomy
Credential: HAIR LOSS SPECIALIST
Enumeration Date: Apr 5, 2019
Last Updated: Sep 1, 2020

Practice Location

Address: 959 MEMORIAL BLVD
City: Picayune
State: Mississippi
ZIP Code: 39466-4635
Phone: (601) 347-6112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X
Technician, Pathology - Phlebotomy — Phlebotomy	246RP1900X	Primary

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