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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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