Organization
AMELIA SALON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY AMELIA EVANS CERTIFIED H.L.S (CERTIFIED HAIR LOSS SPECIALIST)
(334) 262-3972
Entity
Organization
Contact information
Practice address
1023 WOODLEY RD, MONTGOMERY, AL 36106-2429
(334) 262-3972
Mailing address
1023 WOODLEY RD, MONTGOMERY, AL 36106-2429
(334) 262-3972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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