person
Keisha Chalet Wilson Bourne, HAIRLOSSSPECIALIST
Prosthetics Case Management in Charlotte, North Carolina
NPI 1508590712

Keisha Chalet Wilson Bourne is a Prosthetics Case Management based in Charlotte, NC and is specialized in Prosthetics Case Management. Keisha Chalet Wilson Bourne practices in Charlotte, NC and has the professional credentials of HAIRLOSSSPECIALIST. The NPI Number for Keisha Chalet Wilson Bourne is 1508590712 and holds a License No. (North Carolina).

The current practice location address for Keisha Chalet Wilson Bourne is 1005 Beatties Ford Rd, Charlotte, NC and can be reached out via phone at 980-859-3002.

Location: 1005 Beatties Ford Rd, Charlotte, NC, 28216-5033
person
Provider Profile Details
NPI Number
1508590712
Provider Name
Keisha Chalet Wilson Bourne
Credential
HAIRLOSSSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
1005 Beatties Ford Rd, Charlotte, NC, 28216-5033
Phone Number
980-859-3002
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1005 Beatties Ford Rd
City
State
Zip
28216-5033
Phone Number
980-859-3002
Fax Number
person
Provider Business Mailing Address Details
Address
1005 Beatties Ford Rd
City
State
Zip
28216-5033
Phone Number
980-859-3002
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
(North Carolina)
Definition
Definition to come...
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