| NPI | 1477233112 |
|---|---|
| Doing Business As | THE HAIR BOUTIQUE LLC |
| Entity Type | Organization |
| Authorized Contact | UNA MCKENZIE Cranial Prosthesis Specialist 215-501-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-09-08 |