| NPI | 1861080764 |
|---|---|
| Doing Business As | JAELS BEAUTY |
| Entity Type | Organization |
| Authorized Contact | KEATLEY MILLER Provider 864-621-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |