| NPI | 1376271650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMARA HENRY Owner/Licensed Cosmetologist 762-201-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-22 |