| NPI | 1013669142 |
|---|---|
| Doing Business As | B MICHELLE CRANIAL PROSTHESIS |
| Entity Type | Organization |
| Authorized Contact | EBONY MICHELLE JACKSON Founder 872-221-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |