Provider Demographics
NPI:1124799895
Name:SHE HAS YOLIHAIR SALON
Entity type:Organization
Organization Name:SHE HAS YOLIHAIR SALON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROSTHESIS SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DUPREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-457-2623
Mailing Address - Street 1:1027 PRESERVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-8316
Mailing Address - Country:US
Mailing Address - Phone:404-457-2623
Mailing Address - Fax:
Practice Address - Street 1:1350 SCENIC HWY N STE 124
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7909
Practice Address - Country:US
Practice Address - Phone:404-457-2623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier