| NPI | 1922865427 |
|---|---|
| Former Legal Business Name | PRETTY PASSION LLC |
| Entity Type | Organization |
| Authorized Contact | TIFFANEY SHARDAI CLEMMONS Owner 843-618-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |