| NPI | 1609658996 |
|---|---|
| Doing Business As | REVIVE HAIR & NAIL SOLUTIONS |
| Doing Business As | LISAS CREATIVE HAIR REPLACEMENT STUDIO |
| Other Name | REVIVE HAIR & NAIL SOLUTIONS LLC |
| Entity Type | Organization |
| Authorized Contact | LISA CORNELIA ALLEN Owner 234-804-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |