| NPI | 1154864213 |
|---|---|
| Doing Business As | CHARMAINE CAIN HAIR REPLACEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | CARRESHA CHARMAINE GOODLOW C.E.O 731-444-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 2701437960) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |