Organization
CUSTOM CE LLC
Active
Parent organization
CUSTOM CE LLC
Other names
The Hair Center Cincinnati
Organization subpart
Yes
Provider details
NPI number
Legal business name
CUSTOM CE LLC
Authorized official
JASMINE PATRICE DAVIS CERTIFIED HAIR LOSS (EDUCATIONAL DIRECTOR)
(513) 331-3071
Entity
Organization
Contact information
Practice address
4224 CHAMBERS ST, CINCINNATI, OH 45223-1826
(513) 331-3071
Mailing address
4224 CHAMBERS ST, CINCINNATI, OH 45223-1826
(513) 331-3071
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/15/2020
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