Organization
CROWNED GODDESS LUXURY VIRGIN HAIR
Active
Other names
Crowned RX Hair
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE JEWEL BARNES (MANAGER)
(404) 699-0028
Entity
Organization
Contact information
Practice address
3565 MARTIN LUTHER KING DR SW STE 9, ATLANTA, GA 30331-4016
(404) 699-0025
Mailing address
3565 MARTIN LUTHER KING DR SW STE 9, ATLANTA, GA 30331-4016
(404) 699-0025
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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