| NPI | 1114442993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFINY SMITH Hair Loss Specialist 502-718-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |