| NPI | 1346957636 |
|---|---|
| Doing Business As | BOUJIE TRESS RX |
| Entity Type | Organization |
| Authorized Contact | MARTHA LATASHA GRIFFIN Cranial Prosthesis Specialist 225-888-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |