Organization
LADY MARIE HAIR RESTORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANTEL MARIE DOAN COSMETOLOGIST (HAIR REPLACEMENT SPECIALIST/OWNER)
(810) 625-5628
Entity
Organization
Contact information
Practice address
3506 BEECHER RD, SUITE B, FLINT, MI 48503-4966
(810) 625-5628
Mailing address
3506 BEECHER RD, SUITE B, FLINT, MI 48503-4966
(810) 625-5628
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2702120165
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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