| NPI | 1306011614 |
|---|---|
| Doing Business As | JEROME BEAUTY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | GERALD V HONCHELL Owner Jerome Beautiy Boutique 859-269-5653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-07-01 |