KEISHA CHALET WILSON BOURNE

CHARLOTTE, NC
NPI1508590712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2022-07-13
Last Update Date2022-07-13
Business Address
KEISHA CHALET WILSON BOURNE Hair loss specialist
1005 BEATTIES FORD RD
CHARLOTTE, NC 28216-5033
Phone number: 980-859-3002
Mailing Address
KEISHA CHALET WILSON BOURNE Hair loss specialist
1005 BEATTIES FORD RD
CHARLOTTE, NC 28216-5033
Phone number: 980-859-3002