NPI | 1023557790 |
---|---|
Doing Business As | TANN & CO HAIR SALON |
Entity Type | Organization |
Authorized Contact | TANDIKA J DRAKE Owner/ Operator/ Specialist 678-887-0812 |
Organization Subpart ? | No |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA CO095149) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2020-01-09 |