Organization
LASHA'S HAIR STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELASHA TAKETHA WALTON (HAIR LOSS SPECIALIST)
(706) 461-1118
Entity
Organization
Contact information
Practice address
117 SHARTOM DR, AUGUSTA, GA 30907-4748
(706) 461-1118
Mailing address
10 MURRAH ROAD EXT APT C203, NORTH AUGUSTA, SC 29860-9349
(706) 461-1118
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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