| NPI | 1649013962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON POINDEXTER Cosmetology Instructor 469-674-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-07-04 |