| NPI | 1831733823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YNOHTNA M TUREAUD Owner 225-622-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 224900000X Mastectomy Fitter |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-04 |