| NPI | 1154849560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASERLEAN SANDERS Owner/Stylist Specialist 901-489-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |