NPI | 1730822057 |
---|---|
Doing Business As | SMILEY'S HAIR CLINIC & MASTECTOMY BOUTIQUE |
Entity Type | Organization |
Authorized Contact | SHARMELE WEST SMITH Certified Mastectomy Fitter 678-515-7523 |
Organization Subpart ? | No |
Primary Taxonomy | 224900000X Mastectomy Fitter |
Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-04-14 |