Individual
TAKESHA L SALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT HAIR LOSS SPECI
Contact information
Practice address
1607 LAURENS RD, SUITE #109, GREENVILLE, SC 29607-2961
(864) 283-6804
(864) 283-6805
Mailing address
1607 LAURENS RD, SUITE #109, GREENVILLE, SC 29607-2961
(864) 283-6804
(864) 283-6805
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
SC
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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