| NPI | 1962010645 |
|---|---|
| Former Legal Business Name | HAIR & SCALP RESTORATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MEKO CARTER Owner 662-590-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2021-12-15 |