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Individual

CHRISTIN ANN SIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST

Contact information

Practice address
1003 LOUISIANA AVE, LAFAYETTE, LA 70501-4552
(337) 520-1175
Mailing address
108 HUNTERS LN, LAFAYETTE, LA 70507-4952
(337) 520-1157

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
224P00000X
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1744P3200X
LA
01
224P00000X
CERTIFIED HAIR LOSS SPECIALIST
LA
Enumeration date
04/21/2022
Last updated
04/21/2022
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