Organization
MLM SKIN AND HAIR RESTORATION CLINIC LLC
Active
Organization
MLM SKIN AND HAIR RESTORATION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MOSS (TRICHOLOGIST)
(573) 489-1059
Entity
Organization
Contact information
Practice address
101 E FOREST AVE, COLUMBIA, MO 65203-4067
(573) 489-1059
Mailing address
101 E FOREST AVE, COLUMBIA, MO 65203-4067
(573) 489-1059
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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