| NPI | 1073227013 |
|---|---|
| Doing Business As | MIRACLE MANE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | FELICIA COLLINS MCGLUEN Owner 901-530-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |