| NPI | 1467170324 |
|---|---|
| Doing Business As | PHIVE STAR HAIR BOUTIQUE LLC |
| Entity Type | Organization |
| Authorized Contact | KATEAU CERISME CEO 321-374-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |