| NPI | 1225888746 |
|---|---|
| Doing Business As | DYEVGLAM |
| Entity Type | Organization |
| Authorized Contact | YVETTE GARDNER TUCKER Cranial Prothesis Specialist 484-580-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-06-11 |