| Organization Name: | T.TAYLOR SALON & HAIR LOSS TREATMENT CENTER |
| NPI Number: | 1972965010 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOMEKA DESHAWN TAYLOR (CERTIFIED HAIR LOSS SPECIALIST) |
| Mailing Address: | 4112 Commerce Rd Ste B Prince George |
| State: | VA US |
| Postal Code: | 238751515 |
| Phone Number: | 8045414050 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2016 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |