Individual
MRS. CLARISSA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
165 HAGAN AVE, CHILDERSBURG, AL 35044
(256) 404-2096
Mailing address
165 HAGAN AVE, CHILDERSBURG, AL 35150
(256) 404-2096
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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