Organization
KHR BEAUTY& HAIRLOSS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA HUNTER-RORIE CERTIFIED HAIRLOSS (MANAGER)
(919) 423-5376
Entity
Organization
Contact information
Practice address
1058 W CLUB BLVD, 623, DURHAM, NC 27701-1104
(919) 423-5376
Mailing address
1058 W CLUB BLVD, 623, DURHAM, NC 27701-1104
(919) 423-5376
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
GA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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