Organization
XQUISITE HAAR LOSS RESTORATION CENTER LLC
Active
Other names
XQUISITE HAAR LOSS RESTORATION CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISHA LOUISE WILLIAMS HAIR LOSS SPECIALIST (OWNER)
(228) 547-4074
Entity
Organization
Contact information
Practice address
828 PASS RD STE C, GULFPORT, MS 39501-6437
(228) 547-4074
Mailing address
828 PASS RD STE C, GULFPORT, MS 39501-6437
(228) 547-4074
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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