Organization
JERZEYGIRLHAIR SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MUKHAIRAH HARRIS (CERTIFIED HAIR LOSS SPECIALIST)
(704) 497-8176
Entity
Organization
Contact information
Practice address
8746 ARBORCREEK DR, CHARLOTTE, NC 28269-0542
(704) 840-3753
Mailing address
3519 MILL COVE CIR APT 201, CHARLOTTE, NC 28262-7518
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
80978
NC
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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