| NPI | 1487232658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN VICTORIA DUDLEY Cranial Prosthesis Provider 818-821-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |