| NPI | 1083960801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DOCTOR RN Consult For Cranial Prosthesis 301-609-0845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |