Individual provider · Type 1 NPI

Kenya Dominic, HAIR LOSS SPECIALIST

Prosthetics Case Management · Hinesville, GA

NPI number 1760907968 Active

Practice location

445 E.g. Miles Parkway Ste 207
Hinesville, GA 31313

Fax (912) 877-7797

Mailing address

Voluminous Virgin Hair, 445 E G Miles Parkway Ste 207
Hinesville, GA 31313-3246

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management 1744P3200XNone listed
Prosthetics Case Management Primary 1744P3200XNone listed

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

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About NPI 1760907968

Kenya Dominic, HAIR LOSS SPECIALIST's National Provider Identifier is 1760907968, issued on Aug 8, 2017. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Hinesville, GA. The record was last updated on Jul 21, 2022.