| NPI | 1750067765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QAEDAH M LEWIS Cranial Prosthesis Specialist 720-912-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-09-04 |