Salon Nevaeh Certified Hair Replacement Specialist , LLC

NPI #1427581610 in Rincon, Georgia

Provider Information

NPI Number
1427581610
Entity Type
Organization
Organization Name
Salon Nevaeh Certified Hair Replacement Specialist , LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Apr 5, 2017
Last Updated
Apr 5, 2017

Practice Location

Address
1214 N COLUMBIA AVE
Address 2
B
City
Rincon
State
Georgia
ZIP Code
31326-6816
Phone
(912) 826-6518

Authorized Official

Name
SHRONDA BOWMAN, PRACTITIONER/HAIR
Title
OWNER
Phone
(912) 826-6518

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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