| NPI | 1528450160 |
|---|---|
| Doing Business As | BOBBY SPENCE TRICHOLOGY |
| Entity Type | Organization |
| Authorized Contact | AFANSO BOBBY SPENCE Trichologist 703-496-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: VA 1261001419) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |