Era Russell, HAIR LOSS SPECIALIST

NPI #1447604178 in Lagrange, Georgia

Provider Information

NPI Number
1447604178
Entity Type
Individual
Name
Era Russell, HAIR LOSS SPECIALIST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Credential
HAIR LOSS SPECIALIST
Enumeration Date
Apr 19, 2016
Last Updated
Nov 1, 2021

Practice Location

Address
2170 W POINT RD
Address 2
SUITE 36
State
Georgia
ZIP Code
30240-4007
Phone
(762) 323-7874

Specialties & Taxonomy Codes

Specialty
Orthotic Fitter
Prosthetist

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