Organization
ISLAY LLC
Active
Other names
AKUA HAIR CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
TRAI'SHAUN D BEARD ADVANCED COSMETOLOGI (CEO)
(419) 709-9663
Entity
Organization
Contact information
Practice address
524 PARK AVE W, MANSFIELD, OH 44906-3720
(419) 709-9663
Mailing address
524 PARK AVE W, MANSFIELD, OH 44906-3720
(419) 709-9663
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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