| NPI | 1578062055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRAHNA JEFFERSON CEO/Owner 410-304-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 173C00000X Reflexologist |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2023-08-16 |