Organization
HAIR INFINITI WELLNESS SALON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREANA RAMSEUR BLANTON (HAIR LOSS SPECIALIST)
(704) 726-5467
Entity
Organization
Contact information
Practice address
520 COLLINS AIKMAN DR, SUITE E205, CHARLOTTE, NC 28262-3317
(704) 726-5467
Mailing address
520 COLLINS AIKMAN DR, SUITE E205, CHARLOTTE, NC 28262-3317
(704) 726-5467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29628
HAIR LOSS SPECIALIST
NC
Enumeration date
03/27/2013
Last updated
03/27/2013
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