| NPI | 1457030124 | 
|---|---|
| Doing Business As | DANIFIED | 
| Entity Type | Organization | 
| Authorized Contact | DANIELLE WILKS Owner 678-595-5882 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier | 
| Enumeration Date | 2023-07-11 | 
| Last Update Date | 2023-07-11 |