Organization
YBOR CITY ELITE SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONETTE KERR HAIR LOSS (MANAGER)
(813) 503-0882
Entity
Organization
Contact information
Practice address
1910 E 7TH AVE STE 102, TAMPA, FL 33605-3810
(813) 503-0882
Mailing address
1910 E 7TH AVE STE 102, TAMPA, FL 33605-3810
(813) 503-0882
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
FL
Other
Enumeration date
02/02/2018
Last updated
07/21/2022
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