NPI | 1912537705 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIEL EPIPHANY WILSON Licensed Cosmetologists 313-213-7443 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |