Organization
MEDICAL HAIR RESTORATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA PETRINA RISHER (OWNER)
(803) 920-1308
Entity
Organization
Contact information
Practice address
1 WELLNESS BLVD, IRMO, SC 29063-2871
(803) 920-1308
Mailing address
1 WELLNESS BLVD, IRMO, SC 29063-2871
(803) 920-1308
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1744P3200X
SC
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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