Individual
MONIQUE D GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
2651 FAVOR RD SW # 1G06, MARIETTA, GA 30060-5241
(678) 468-9702
Mailing address
PO BOX 1244, SMYRNA, GA 30081-1244
(678) 468-9702
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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