Most Relevant Information
Provider Data
| NPI Number: | 1003289240 |
| Provider Name: | AKIALAH HAYNES HAIR LOSS SPECIALIST |
| Entity Type: | Individual |
| Taxonomy Code: | 1744P3200X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/10/2015 |
| Last Updated: | 06/11/2018 |
Provider Practice Location
1768 CLEVELAND AVE
COLUMBUS
OH
43211
Practice Location Phone/Fax
| Phone: | 6144076751 |
| Fax: |
Provider Mailing Location
PO BOX 24385
COLUMBUS
OH
432240385
Provider Mailing Phone/Fax
| Phone: | 6144076751 |
| Fax: |