| NPI | 1700547189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA LASHUN HAWKINS Certified Hair Loss Specialist 813-421-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |