Organization
HAIRVYBES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEKETRA EVANS (OWNER)
(601) 606-4269
Entity
Organization
Contact information
Practice address
39 E ZION RD, WIGGINS, MS 39577-5000
(601) 606-4269
Mailing address
39 E ZION RD, WIGGINS, MS 39577-5000
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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