Organization
NAGENNEH STYLES
Active
Other names
Nagenneh Styles Hair Loss Restoration
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA HENNEGAN (OWNER)
(704) 430-5897
Entity
Organization
Contact information
Practice address
9705 NORTHEAST PKWY STE 113, MATTHEWS, NC 28105-9703
(704) 430-5897
Mailing address
7411 OLD WELL STREET, APT I, CHARLOTTE, NC 28212
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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