Organization
ESSENTIAL HAIR LOSS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIERRA N KILPATRICK (OWNER)
(616) 635-8045
Entity
Organization
Contact information
Practice address
1971 EAST BELTLINE AVE, STE 106 #488, GRAND RAPIDS, MI 49525
(616) 281-1834
(231) 447-3945
Mailing address
1971 EAST BELTLINE AVE, STE 106 #488, GRAND RAPIDS, MI 49525
(616) 284-1834
(123) 447-3945
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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