| NPI | 1609540947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES ROACH Hair Replacement Specialist 910-670-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |