Individual
DR. KHRISHUNDA UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRICHOLOGIST/HHP
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
228944003
CA
332BC3200X
Customized Equipment (DME)
Primary
228944003
CA
335E00000X
Prosthetic/Orthotic Supplier
228944003
CA
Other
Enumeration date
02/22/2021
Last updated
12/08/2021
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