| NPI | 1528886702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEL TIFFANY JONES Cranial Prosthesis Specialist 708-261-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |