Organization
HAIR GRASS HAIR LOSS SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONY STARR PRESCOTT (OWNER/PROVIDER)
(904) 846-2160
Entity
Organization
Contact information
Practice address
3100 UNIVERSITY BLVD S STE 109, JACKSONVILLE, FL 32216-2737
(904) 846-2160
Mailing address
3100 UNIVERSITY BLVD S STE 109, JACKSONVILLE, FL 32216-2737
(904) 846-2160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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