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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