Organization
THE MELANIN KOLLECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKITHA HICKS (OWNER)
(870) 665-1859
Entity
Organization
Contact information
Practice address
5913 PECAN LAKE ROAD, LITTLE ROCK, AR 72204
(470) 665-1859
Mailing address
5913 PECAN LAKE RD, LITTLE ROCK, AR 72204-8577
(870) 665-1859
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/23/2021
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