| NPI | 1881940203 |
|---|---|
| Doing Business As | HAIR ENVY CRANIAL PROTHESIS |
| Entity Type | Organization |
| Authorized Contact | DORETHA BESSEMER Owner 616-643-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |