Organization
PLATINUM HAIR BY MERLANDE, LLC
Active
Other names
Platinum Salon by Merlande, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERLANDE LEONNA PETITHOMME CRANIAL PROTHESIS SP (CERTIFIED HAIR LOSS SPECIALIST)
(770) 771-1981
Entity
Organization
Contact information
Practice address
5975 ROSWELL RD, C-343, FLAT-8, SANDY SPRINGS, GA 30328
(770) 771-1981
Mailing address
5975 ROSWELL RD, C-343, FLAT-8, SANDY SPRINGS, GA 30328
(770) 771-1981
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO129741
MASTER COSMETOLOGY & HAIR LOSS PRACTITIONER
GA
Enumeration date
12/28/2021
Last updated
12/29/2021
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