| NPI | 1396279915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL MARIE DOAN Hair Replacement Specialist/Owner 810-625-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 2702120165) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |