Individual
KENYA DOMINIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
445 E.G. MILES PARKWAY STE 207, HINESVILLE, GA 31313
(912) 877-7797
(912) 877-7797
Mailing address
VOLUMINOUS VIRGIN HAIR, 445 E G MILES PARKWAY STE 207, HINESVILLE, GA 31313-3246
(912) 877-7797
(912) 877-7797
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
GA
1744P3200X
Prosthetics Case Management
—
—
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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