| NPI | 1356858971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA LEWIS Certified Hairloss Specialist 816-308-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |