Organization
UNIQUE CREATIONS HAIR STUDIOS II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE RACHELLE DEERING HLP, TRICHOLOGIST (OWNER)
(470) 242-4675
Entity
Organization
Contact information
Practice address
303 JONESBORO RD, MCDONOUGH, GA 30253-3725
(470) 242-4675
(678) 619-5521
Mailing address
1924 WEATHERSTAFF LN, MCDONOUGH, GA 30253-3072
(470) 242-4675
(678) 619-5521
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
COSA049674
GA
335E00000X
Prosthetic/Orthotic Supplier
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Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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