Organization
EVOLUTION HAIR COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY L HUDSON (OWNER)
(313) 282-5654
Entity
Organization
Contact information
Practice address
17825 W 7 MILE RD, DETROIT, MI 48235-3052
(313) 693-9722
Mailing address
17825 W 7 MILE RD, DETROIT, MI 48235-3052
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
MI
Other
Enumeration date
04/20/2018
Last updated
07/21/2022
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