Organization
IMPRESSIVE TRESSES SALON 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA BRADY-NEWLAND (OWNER)
(908) 432-8930
Entity
Organization
Contact information
Practice address
3059 N MAIN ST STE 20, HOPE MILLS, NC 28348-2799
(909) 432-8930
Mailing address
3059 N MAIN ST STE 20, HOPE MILLS, NC 28348-2799
(909) 432-8930
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
S37448
NC
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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