Stage 1 Hair Loss Replacement & Salon LLC
NPI #1962180927 in Meadville, Mississippi
Provider Information
- NPI Number
- 1962180927
- Entity Type
- Organization
- Organization Name
- Stage 1 Hair Loss Replacement & Salon LLC
- Primary Specialty
- Contractor
- Enumeration Date
- Jul 10, 2023
- Last Updated
- Jul 10, 2023
Practice Location
- Address
- 216 MAIN ST.
- City
- Meadville
- State
- Mississippi
- ZIP Code
- 39653
- Phone
- (601) 384-4532
Authorized Official
- Name
- PROF. ALANDA KNIGHT TILLMAN
- Title
- PRESIDENT
- Phone
- (601) 773-0241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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