Organization
LAVISHINGLUX HAIR IMPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIARA KINCAID (OWNER)
(877) 376-7025
Entity
Organization
Contact information
Practice address
200 BELLE CHASSE CIR, JACKSON, MS 39212-3164
(877) 376-7025
(601) 348-9887
Mailing address
200 BELLE CHASSE CIR, JACKSON, MS 39212-3164
(877) 376-7025
(601) 348-9887
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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