Organization
DIVINE RESTORATION HAIR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER RENEE WINFIELD (CERTIFIED HAIR LOSS SPECIALIST)
(803) 683-8261
Entity
Organization
Contact information
Practice address
649 MORGAN ST NW, AIKEN, SC 29801-3539
(803) 638-8261
Mailing address
933 PINE LOG RD # 1030, AIKEN, SC 29803-7330
(803) 638-8261
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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