Organization
KEAVA'S HAIR CASTLE LLC
Active
Other names
KeAva's Hair Castle LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE B RAWLS (MEDICAL WIG PROVIDER)
(804) 365-2102
Entity
Organization
Contact information
Practice address
3303 AIRLINE BLVD STE 3F, PORTSMOUTH, VA 23701-2635
(804) 365-2102
Mailing address
3303 AIRLINE BLVD STE 3F, PORTSMOUTH, VA 23701-2635
(804) 365-2102
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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