Individual
MS. TANISHA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
13051 ABERCORN ST STE B1, SAVANNAH, GA 31419-1971
(912) 352-0200
Mailing address
13051 ABERCORN ST STE B1, SAVANNAH, GA 31419-1971
(912) 352-0200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO081911
GA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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