| NPI | 1881224228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI ANN HARRIS Hair Specialist 573-818-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |