| NPI | 1467919670 |
|---|---|
| Doing Business As | HAIR GODDESS BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | OLAJIDE A WILKERSON Manager 954-471-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2019-02-23 |