| NPI | 1609682491 |
|---|---|
| Doing Business As | AUDACIOUS TRESSES |
| Entity Type | Organization |
| Authorized Contact | ASIA RENISE MAYO Owner 832-250-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |