Capitol Beauty And Barbering LLC
Clinic/Center in Memphis, TN. Organization (NPI-2).
NPI number1396491429
StatusActive
Last updated in NPPESFeb 28, 2022
Details
- NPI
- 1396491429
- Entity type
- Organization (NPI-2)
- Legal business name
- Capitol Beauty And Barbering LLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2022
- Certification date
- Feb 28, 2022
- Last updated
- Feb 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Capitol Beauty, Barbering And Hair Restoration (Doing Business As)
Practice location
3584 Forrest AveMemphis, TN 38122-5123
Phone 901-239-1020
Mailing address
3584 Forrest AveMemphis, TN 38122-5123
Phone 901-239-1020
Authorized official
Lakesha W Polk
Certified Hair Loss Specialist
9012391020
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