| NPI | 1043767510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MORRIS Certified Hair Loss Professional 813-415-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL Cl1212955) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |