| NPI | 1871961490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAQUANA L HEYWARD Certified Hair Loss Specialist 843-441-4374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |