| NPI | 1285097048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN FORTE Certified Hair Loss Specialist 769-798-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |