Individual
EURSEL NICOLE ASHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
128 S ASSEMBLY ST, COLUMBIA, SC 29201-4545
(803) 397-4216
(803) 232-7944
Mailing address
241 ROSEBROOK DR, HOPKINS, SC 29061-8389
(803) 397-4216
(803) 232-7944
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
62684
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
CERTIFIED HAIR LOSS SPECIALIST
SC
01
—
A9272
MEDICAL UNIT
SC
01
—
A9282
CRANIAL PROSTHESIS
SC
01
—
S8095
HAIRPIECE FOR ALOPECIA
SC
Enumeration date
12/11/2017
Last updated
03/19/2019
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