Individual
MRS. REGINA INGRAM AMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER COSMETOLOGIST
Contact information
Practice address
11770 HAYNES BRIDGE RD, SUITE 401 ROOM 48, ALPHARETTA, GA 30009-1966
(520) 255-3024
Mailing address
11770 HAYNES BRIDGE RD, SUITE 401 ROOM 48, ALPHARETTA, GA 30009-1966
(520) 255-3024
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
11/24/2015
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