| NPI | 1629710728 |
|---|---|
| Former Legal Business Name | PRECIOUS KREATION CRANIAL PROSTHESIS SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | PRECIOUS MONIQUE JONES Cranial Prosthesis Specialist/ CEO 501-626-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2022-04-09 |