| NPI | 1265101919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA OSBORNE Hair Replacement Specialist 678-306-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2025-08-08 |