| NPI | 1144906751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISCHEL D DAVIS Certified Mastectomy Fitter 504-635-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-06-17 |