| NPI | 1336987221 |
|---|---|
| Former Legal Business Name | MAZIE'S MANE VIRGIN HAIR, LLC |
| Entity Type | Organization |
| Authorized Contact | JADA SESSIONS Owner 804-937-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |