| NPI | 1306506555 |
|---|---|
| Former Legal Business Name | SOPHIATRICHOHOLISTIC HAIR SPA |
| Entity Type | Organization |
| Authorized Contact | PROPHIDA BIEN AIME Owner 954-665-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |