Organization
BOSSART HAIR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY THOMPSON-BAKER (SPECIALIST)
(317) 523-9033
Entity
Organization
Contact information
Practice address
9949 E INDEPENDENCE BLVD # 19, MATTHEWS, NC 28105-4665
(317) 721-5030
Mailing address
9949 E INDEPENDENCE BLVD # 19, MATTHEWS, NC 28105-4665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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