| NPI | 1790479640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI YOUNGER RUSSELL Certified Hair Loss Expert 571-230-6302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-09-06 |