Individual
LASANDRA DENISE HATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALOPECIA WIG INSTALL
Contact information
Practice address
4120 JOHN BARROW RD, LITTLE ROCK, AR 72204-7364
(501) 612-7750
Mailing address
PO BOX 4023, LITTLE ROCK, AR 72214-4023
(501) 612-7750
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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