| NPI | 1891230744 |
|---|---|
| Other Name | PAYNE'S COSMETOLOGIC INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | CHAUNA YVETTE PAYNE Owner 618-580-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 011307091) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 011307091) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |