Organization
HEAVENLY TRESSES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RENNER-THOMAS HAIR LOSS SPECIALIST (OWNER)
(855) 487-3773
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(855) 487-3773
(855) 269-2733
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(855) 487-3773
(855) 269-2733
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
11/08/2024
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