Organization
RAW ELEGANCE HAIR SOLUTIONS
Active
Other names
House of Raw Elegance Hair Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIS MARTIN HAIR LOSS SPECIALIST (OWNER)
(314) 299-8926
Entity
Organization
Contact information
Practice address
2955 PATTERSON RD, FLORISSANT, MO 63031-1415
(314) 299-8926
Mailing address
2955 PATTERSON RD, FLORISSANT, MO 63031-1415
(314) 299-8926
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
2014011967
MO
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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