| NPI | 1194208611 |
|---|---|
| Doing Business As | HELLO BEAUTIFUL MASTECTOMY BOUTIQUE |
| Doing Business As | J'NICOLE SALOUNGE & HAIR LOSS BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | JAMIE WASHINGTON Owner 501-353-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-02-18 |