Organization
TRICHOLOGY WELLNESS LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAE STARNES (PROSTHETICS CASE MGMNT SPECIALIST)
(980) 339-0994
Entity
Organization
Contact information
Practice address
6316 FARMSTEAD DR, CHARLOTTE, NC 28227-3208
(980) 339-0994
Mailing address
6316 FARMSTEAD DR, CHARLOTTE, NC 28227-3208
(980) 399-0994
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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