| NPI | 1295307387 |
|---|---|
| Doing Business As | LUSH HAIR AFFAIR RX |
| Entity Type | Organization |
| Authorized Contact | KIANTE L THOMPSON Owner/Cranial Prosthesis Specialist 803-729-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-08-08 |