Organization
TAILORED MADE HAIR REPLACEMENT CENTER LLC
Active
Other names
Tailored Made Hair
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI ANN HARRIS (HAIR SPECIALIST)
(573) 818-8554
Entity
Organization
Contact information
Practice address
201 W SWITZLER ST STE B, CENTRALIA, MO 65240-1594
(573) 818-8554
Mailing address
2521 LAORIS ST, COLUMBIA, MO 65202-2224
(573) 818-8554
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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