Organization
EXQUISITE HAIR & REPLACEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA FREEMAN (CEO)
(407) 761-6238
Entity
Organization
Contact information
Practice address
1631 N COCOA BLVD, COCOA, FL 32922-6935
(407) 761-6238
Mailing address
1631 N COCOA BLVD, COCOA, FL 32922-6935
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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