| NPI | 1407303605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETTA JOYCE REYNOLDS Hair Prosthesis Specialist 216-323-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1420593) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |