Organization
TALISA'S HAIR CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TALISA BLACKMAN (OWNER/STYLIST)
(817) 513-8967
Entity
Organization
Contact information
Practice address
315 10TH AVE N STE 117, NASHVILLE, TN 37203-3458
(817) 513-8967
Mailing address
315 10TH AVE N STE 117, NASHVILLE, TN 37203-3458
(817) 513-8967
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
71360
TN
Other
Enumeration date
06/18/2015
Last updated
04/30/2026
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