| NPI | 1477989416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JUNE GENDRON Proprietor/Licensed Cosmetologist 401-946-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI HI06907) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |