| NPI | 1801660287 |
|---|---|
| Doing Business As | CANDILOCS MEDICAL WIGS |
| Entity Type | Organization |
| Authorized Contact | LAURETTA J JOHNSON PHILLIPS CEO 469-531-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |