| NPI | 1720558893 |
|---|---|
| Doing Business As | INNOVATION HAIR CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEVI SAMUELS VP Of Business & Operations 910-824-2872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2019-02-06 |