| NPI | 1811562549 |
|---|---|
| Former Legal Business Name | DEBBY HAIR BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | DEBRA LORAINE SAMDS Owner 792-503-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |