Organization
TRANSCENDING INNOVATIONS BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKIA GORHAM (OWNER/ HAIR LOSS SPECIALIST)
(335) 515-0826
Entity
Organization
Contact information
Practice address
302 POMONA DR STE N, GREENSBORO, NC 27407-1642
(336) 515-0826
Mailing address
2528 SUNNYCREST DR, REIDSVILLE, NC 27320-8247
(336) 254-6884
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
C65543
NC
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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