Provider Demographics
NPI:1942867528
Name:UZURU NATURAL HAIR LOCS AND BRAIDS
Entity Type:Organization
Organization Name:UZURU NATURAL HAIR LOCS AND BRAIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-612-7583
Mailing Address - Street 1:2206 HANFRED LN STE 105
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4809
Mailing Address - Country:US
Mailing Address - Phone:770-414-4262
Mailing Address - Fax:
Practice Address - Street 1:2206 HANFRED LN STE 105
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4809
Practice Address - Country:US
Practice Address - Phone:770-414-4262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty