Organization
THD MEDICAL HAIR REJUVENATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOYA JACKSON (OWNER)
(540) 607-7177
Entity
Organization
Contact information
Practice address
9911 JEFFERSON DAVIS HWY STE 109, FREDERICKSBURG, VA 22407-9423
(540) 607-7177
Mailing address
9827 DOMINION FOREST CIR, FREDERICKSBURG, VA 22408-9509
(540) 607-7177
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
10/05/2021
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