Organization
EXQUISITE BEAUTY HAIR REPLACEMENT CENTER
Active
Parent organization
EXQUISITE BEAUTY INDUSTRIES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXQUISITE BEAUTY INDUSTRIES, LLC
Authorized official
MS. LISA RENA CORBIN HAIR LOSS PRACTITION (OWNER)
(757) 567-2698
Entity
Organization
Contact information
Practice address
1580 CROSSWAYS BLVD, CHESAPEAKE, VA 23320-0206
(757) 567-2698
Mailing address
109G GAINSBOROUGH SQ # 162, CHESAPEAKE, VA 23320-1707
(757) 567-2698
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
02/21/2025
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