# UNIQUELY URS HAIR RESTORATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942791421
- **Authorized official:** MELODY A ROBINSON (OWNER)
- **Authorized official phone:** (301) 535-6975

## Contact information

- **Practice address:** 1144 SMALLWOOD DR W \# E1, WALDORF, MD 20603-4759
- **Practice address phone:** (301) 535-6975
- **Mailing address:** 2304 OXFORD SHIRE CT, WALDORF, MD 20603-3215
- **Mailing address phone:** (301) 535-6975
- **Mailing address fax:** (240) 213-2551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224P00000X | Prosthetist | 222859 | MD | Yes |

## Other

- **Enumeration date:** 05/21/2018
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 222859 | LICENSE | MD |
