Venus Hair Loss Replacement Center LLC

NPI #1942859558 in O Fallon, Illinois

Provider Information

NPI Number: 1942859558
Entity Type: Organization
Organization Name: Venus Hair Loss Replacement Center LLC
Primary Specialty: Interpreter
Enumeration Date: Sep 6, 2019
Last Updated: Sep 6, 2019

Practice Location

Address: 625 S LINCOLN AVE
City: O Fallon
State: Illinois
ZIP Code: 62269-2663
Phone: (618) 401-6359

Authorized Official

Name: AKOSSIWA TATIANE AMENYO, CERTIFIED
Title: HAIR LOSS SPECIALIST
Phone: (618) 401-6359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X
Interpreter	171R00000X	Primary

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