| NPI | 1790544435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRIECE TITUS Cosmetologist/Hair Loss Professiona 510-200-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |