| NPI | 1699458380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE BEAN Co Owner 629-279-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224900000X Mastectomy Fitter |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-12-20 |