Organization
IMAGE MAKER HAIR SALON AND WIG STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE MOHLER (OWNER)
(434) 385-0347
Entity
Organization
Contact information
Practice address
1033A CLAYMONT DR, LYNCHBURG, VA 24502-4481
(434) 385-0347
Mailing address
1033A CLAYMONT DR, LYNCHBURG, VA 24502-4481
(434) 385-0347
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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