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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICKANESHA MCKINNEY, HAIR LOSS SP

Active Sole Proprietor

RICKANESHA MCKINNEY, HAIR LOSS SP is a Customized Equipment (DME) healthcare provider located in MOUNT OLIVE, North Carolina. NPI 1639769532 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · MOUNT OLIVE, NC

Registration Details

NPI Number
1639769532
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2021 (5.5627711694406 yrs)
Last Updated
Jan 25, 2021
License
C58596 (NC)
Sole Proprietor
Yes

Practice Information

Address
1020 S BREAZEALE AVE
MOUNT OLIVE, NC, 283658572
Browse NC providers · Browse ZIP 28365
Phone
9199203923
Primary Specialty
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.