NPI | 1639769730 |
---|---|
Doing Business As | FIT FOR A QUEEN |
Entity Type | Organization |
Authorized Contact | TONYAN HUNTER Managing Member 704-431-4215 |
Organization Subpart ? | No |
Primary Taxonomy | 224900000X Mastectomy Fitter |
Enumeration Date | 2021-01-22 |
Last Update Date | 2022-04-08 |