| NPI | 1326504580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMMAH KINCHEN Certified Hair Loss Specialist 469-974-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |