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NPI 1669029096

IndividualActive

Akossiwa Amenyo, HAIR LOSS SPECIALIST

NPI 1669029096 · Prosthetics Case Management · O Fallon, IL

Provider details

NPI number: 1669029096
Entity type: Individual
Primary specialty: Prosthetics Case ManagementOther Service Providers
Credential: HAIR LOSS SPECIALIST
Sex: Female
Sole proprietor: No

Practice location

625 S Lincoln Ave

O Fallon, IL 62269-2663

Phone: (618) 401-6359

More IL providers

Mailing address

625 S Lincoln Ave

O Fallon, IL 62269-2663

Registry dates

Enumerated: 2019-08-21
Last updated: 2019-08-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Akossiwa Amenyo, HAIR LOSS SPECIALIST — NPI 1669029096, O Fallon, IL | NPI Central