Image Maker Hair Salon and Wig Studio

NPI #1619536760 in Lynchburg, Virginia

Provider Information

NPI Number: 1619536760
Entity Type: Organization
Organization Name: Image Maker Hair Salon and Wig Studio
Primary Specialty: Prosthetist
Enumeration Date: Jun 12, 2019
Last Updated: Jun 12, 2019

Practice Location

Address: 1033A CLAYMONT DR
City: Lynchburg
State: Virginia
ZIP Code: 24502-4481
Phone: (434) 385-0347

Authorized Official

Name: ALICE MOHLER
Title: OWNER
Phone: (434) 385-0347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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