| NPI | 1740980044 |
|---|---|
| Doing Business As | MICHELLE MASON |
| Doing Business As | MICHELLE RENEE CRANIAL PROTHESIS |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MASON Supervisor 240-355-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |