| NPI | 1396493656 |
|---|---|
| Other Name | INNER CITY BLEUS CLASSIC CUTZ |
| Entity Type | Organization |
| Authorized Contact | DEYONTA NEWSOME Barber/Owner 313-717-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |