| NPI | 1104350420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKHAIRAH HARRIS Certified Hair Loss Specialist 704-497-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 80978) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |