Organization
CAPITOL BEAUTY AND BARBERING LLC
Active
Other names
CAPITOL BEAUTY, BARBERING AND HAIR RESTORATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAKESHA W POLK (CERTIFIED HAIR LOSS SPECIALIST)
(901) 239-1020
Entity
Organization
Contact information
Practice address
3584 FORREST AVE, MEMPHIS, TN 38122-5123
(901) 239-1020
Mailing address
3584 FORREST AVE, MEMPHIS, TN 38122-5123
(901) 239-1020
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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