Organization
MONARCH HAIR SOLUTIONS & SALON, LLC
Active
Parent organization
MONARCH HAIR SOLUTIONS & SALON, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONARCH HAIR SOLUTIONS & SALON, LLC
Authorized official
MRS. ANGELA D ROARK TRICOLOGIST (OWNER)
(229) 292-9336
Entity
Organization
Contact information
Practice address
404 NORTHSIDE DR STE G, VALDOSTA, GA 31602-1800
(229) 292-9336
Mailing address
404 NORTHSIDE DR STE G, P.O. BOX 745, VALDOSTA, GA 31602-1800
(229) 292-9336
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
COSA050783
CO
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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