| NPI | 1164830964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY AMELIA EVANS Certified Hair Loss Specialist 334-262-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |