| NPI | 1508550492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONDRA J MITCHELL Owner/Cranial Prosthesis Specialist 405-977-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-08 |