Organization
HAIR IMAGE AND EXPRESSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA RANA HILLIARD COS/ ESTHECTICIAN (COSMETOLOGIST/ HAIR REPLACEMET SPEC)
(252) 885-7695
Entity
Organization
Contact information
Practice address
1516 SAINT ANDREW ST, TARBORO, NC 27886-2534
(252) 885-7695
Mailing address
1516 SAINT ANDREW ST, TARBORO, NC 27886-2534
(252) 885-7695
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C68563
NC
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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