Organization
VOLUMINOUS VIRGIN HAIR BOUTIQUE
Active
Organization
VOLUMINOUS VIRGIN HAIR BOUTIQUE
Active
Other names
Sou Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA DOMINIC (MEMBER MANAGER)
(912) 877-7797
Entity
Organization
Contact information
Practice address
445 ELMA G MILES PKWY, 207, HINESVILLE, GA 31313-3230
(912) 877-7797
Mailing address
445 EG.MILES PARKWAY, 207, HINESVILLE, GA 31313-9623
(912) 877-7797
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20725
GA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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