Individual
MRS. WAKEETHA RENEE LEGARE-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
4848 MAYBANK HWY, WADMALAW ISLAND, SC 29487-7081
(843) 425-6416
Mailing address
4848 MAYBANK HWY, WADMALAW ISLAND, SC 29487-7081
(843) 425-6416
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
69137
SC
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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