| NPI | 1669194064 |
|---|---|
| Doing Business As | NIRVANA HAIR RX |
| Doing Business As | NIRVANA HAIR STUDIO |
| Doing Business As | MY CUSTOM DESIRE RX |
| Entity Type | Organization |
| Authorized Contact | MAREE NEWBY-SANDERS President 757-254-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |