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Organization

PLENTIFUL HAIR STUDIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MYEESHA L SANDERS CERTIFIED HAIR LOSS (CERTIFIED HAIR LOSS SPECIALIST)
(708) 502-3099
Entity
Organization

Contact information

Practice address
3224 RIDGE RD STE 203, LANSING, IL 60438-3191
(708) 529-6000
(708) 538-1485
Mailing address
324 166TH ST, CALUMET CITY, IL 60409-6217
(708) 502-3099

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
011.279887
IL

Other

Enumeration date
02/19/2018
Last updated
03/20/2023
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