| NPI | 1669732301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA J WASHINGTON Master Cosmetologist/Owner 334-868-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 39089) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 161733) |
| 1744P3200X Specialist Prosthetics Case Management (Licence: AL 39089) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: AL 161733) | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2013-07-31 |