Individual
JOILANDA RENEE THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1170 LAKE VALLEY RD, MACON, GA 31210-3228
(478) 335-7053
Mailing address
1170 LAKE VALLEY RD, MACON, GA 31210-3228
(478) 335-7053
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO082666
GA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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