| NPI | 1679296925 |
|---|---|
| Doing Business As | DEMI'S LAVISHED BOUTIQUE LLC |
| Entity Type | Organization |
| Authorized Contact | DEMITRIS DIANE CARAWAY Prosthetic Orthotic Provider 832-541-3152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |