| NPI | 1164974390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN KONOMA Director Of Medical Hair Loss 800-656-1831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA RN137699) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |