Individual
MRS. SHERRY SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1110 N CHALKVILLE RD, SUITE 144, TRUSSVILLE, AL 35173-1083
(205) 903-4105
Mailing address
1110 N CHALKVILLE RD, SUITE 144, TRUSSVILLE, AL 35173-1083
(205) 903-4105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
096868
AL
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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