Custom Hair Extensions & Hair Loss Center

NPI #1295101608 in Tucker, Georgia

Provider Information

NPI Number
1295101608
Entity Type
Organization
Organization Name
Custom Hair Extensions & Hair Loss Center
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Aug 19, 2015
Last Updated
Sep 4, 2015

Practice Location

Address
3983 LAVISTA RD
Address 2
SUITE 164
City
Tucker
State
Georgia
ZIP Code
30084-5153
Phone
(678) 754-3196

Authorized Official

Name
CHARLA JONES
Title
CERTIFIED HAIR LOSS SPECIALIST
Phone
(678) 754-3196

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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