| NPI | 1881167344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNTIONEEK BOSTON Hair Loss Specialist 678-972-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-07-16 |