| NPI | 1376046664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKIA GORHAM Owner/ Hair Loss Specialist 335-515-0826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC C65543) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |