| NPI | 1013462316 |
|---|---|
| Doing Business As | CUSTOM HAIR |
| Entity Type | Organization |
| Authorized Contact | LORI YOUNKMAN Owner 813-932-5327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |