Individual
SHAUNTAE T COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER COSMETOLOGIST
Contact information
Practice address
218 W VICTORY DR STE 9, SAVANNAH, GA 31405-1718
(912) 231-7445
Mailing address
801 W 40TH ST, SAVANNAH, GA 31415-8707
(912) 604-1172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO126617
GA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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