Organization
MAINY MANE HAIR BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAIN CARTER (EXECUTIVE)
(248) 234-2393
Entity
Organization
Contact information
Practice address
3003 EAST MICHIGAN AVE, LANSING, MI 48912
(248) 234-2392
Mailing address
21370 INDEPENDENCE DR, SOUTHFIELD, MI 48076-5545
(248) 234-2393
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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