| NPI | 1316739667 |
|---|---|
| Former Legal Business Name | HAIRBYJAILOVE LLC |
| Entity Type | Organization |
| Authorized Contact | JOVARRIUS P DOATY Cranial Prosthesis Specialist 210-400-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |