| NPI | 1548645120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIRAINA GRIFFITH Hair Loss Specialist 910-257-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 49972) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC CT1064) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-09-16 |