| NPI | 1023497120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA L DOUGLAS Certified Hair Loss Specialist/Owne 856-495-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 32WD03145600) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |