Individual
LAKISHA MARTESA ASHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
651 SAINT ANDREWS RD, COLUMBIA, SC 29210-5112
(800) 719-0061
Mailing address
651 SAINT ANDREWS RD, COLUMBIA, SC 29210-5112
(800) 719-0061
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
55548
SC
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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