Organization
ONE LOOK SALON AND HAIR LOSS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RYKETIA STRONG (HAIR LOSS SPECIALIST/OWNER)
(770) 420-9091
Entity
Organization
Contact information
Practice address
26 AYERS AVE NE, MARIETTA, GA 30060-2112
(770) 420-9091
Mailing address
PO BOX 801445, ACWORTH, GA 30101-1218
(770) 420-9091
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO090389
GA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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