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Individual

MS. TAKERIA TASHAY HUNTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS

Contact information

Practice address
2621 CHURCH ST STE 200, EAST POINT, GA 30344-3142
(678) 392-7436
Mailing address
705 SIGNATURE TRCE, PALMETTO, GA 30268-2540
(678) 392-7436

Taxonomy

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

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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