Organization
LASHAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDIA LUWANDELL WILLIAMS (OWNER/EC MANAGER)
(919) 632-6523
Entity
Organization
Contact information
Practice address
106 W HORTON ST, ZEBULON, NC 27597-2652
(919) 632-6523
Mailing address
102 TORTOLA PL, KNIGHTDALE, NC 27545-7106
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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