Organization
HAIR LOSS SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA L FREEMAN (OWNER)
(321) 632-8855
Entity
Organization
Contact information
Practice address
9917 HIDDEN RIVER DR APT 108, ORLANDO, FL 32829-8594
(407) 286-1958
Mailing address
9917 HIDDEN RIVER DR APT 108, ORLANDO, FL 32829-8594
(407) 286-1958
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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