Ashay Blakely, HAIRLOSS PRACTITION
NPI #1861131385 in Irmo, South Carolina
Provider Information
- NPI Number
- 1861131385
- Entity Type
- Individual
- Name
- Ashay Blakely, HAIRLOSS PRACTITION
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Credential
- HAIRLOSS PRACTITION
- Enumeration Date
- Jun 2, 2022
- Last Updated
- Jun 2, 2022
Practice Location
- Address
- 107 N ROYAL TOWER DR STE I
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-2782
- Phone
- (803) 497-4825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetist |
| Orthotic Fitter |
| Specialist/Technologist, Other |
| Prosthetic/Orthotic Supplier |
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