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 |