| NPI | 1871309468 |
|---|---|
| Former Legal Business Name | BOSSI GAL WIG ACADEMY |
| Entity Type | Organization |
| Authorized Contact | YVONNE MINCY Cranial Prosthesis 323-244-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2025-03-18 |