MRS. Nicole D Jennings, HAIR LOSS SPECIALIST

NPI #1700449964 in Columbia, South Carolina

Provider Information

NPI Number: 1700449964
Entity Type: Individual
Name: MRS. Nicole D Jennings, HAIR LOSS SPECIALIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: HAIR LOSS SPECIALIST
Enumeration Date: Apr 15, 2019
Last Updated: Apr 15, 2019

Practice Location

Address: 920 SAINT ANDREWS RD STE 2&3
City: Columbia
State: South Carolina
ZIP Code: 29210-5816
Phone: (803) 312-4850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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