| NPI | 1629527486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN MCCORMICK Owner/Hairstylist 262-617-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 42649-80) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |