| NPI | 1851061741 |
|---|---|
| Other Name | JAP WIG AND WEAVE |
| Entity Type | Organization |
| Authorized Contact | JAVON ANTWANE PINELLAS Owner 404-990-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |