| NPI | 1457031858 |
|---|---|
| Other Name | LATRICE STYLEZ |
| Entity Type | Organization |
| Authorized Contact | LASHONNDA L SPENCE Owner 469-835-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-25 |