IndividualActive
Nicole Clark, HAIR LOSS SPECIALIST
NPI 1386106375 · Prosthetist · Long Beach, MS
Provider details
- NPI number
- 1386106375
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- HAIR LOSS SPECIALIST
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 N Burke Ave
Long Beach, MS 39560-4605
Phone: (228) 234-1658
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Burke Ave
Long Beach, MS 39560-4605
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2019-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.