Organization
INNER CITY BLEUS CLASSIC CUTZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEYONTA NEWSOME HAIR LOSS SPECIALIST (CERTIFIED HAIR LOSS SPECIALIST)
(313) 475-8380
Entity
Organization
Contact information
Practice address
5220 E 7 MILE RD, DETROIT, MI 48234-2358
(313) 717-8952
Mailing address
PO BOX 554, WARREN, MI 48090-0554
(313) 717-8952
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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