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Lakisha Martesa Ashford, CERTIFIED HAIR LOSS

Specialist, Prosthetics Case Management in Columbia, SC. Individual provider (NPI-1).

NPI number1447754288
StatusActive
Last updated in NPPESMar 19, 2018

Details

NPI
1447754288
Entity type
Individual (NPI-1)
Name
Lakisha Martesa Ashford
Credential
CERTIFIED HAIR LOSS
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 19, 2018
Last updated
Mar 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1744P3200X Specialist, Prosthetics Case Management55548SCYes

Practice location

651 Saint Andrews Rd
Columbia, SC 29210-5112

Phone 800-719-0061

Mailing address

651 Saint Andrews Rd
Columbia, SC 29210-5112

Phone 800-719-0061

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