| NPI | 1922883073 |
|---|---|
| Doing Business As | CPB MEDICAL WIGS |
| Entity Type | Organization |
| Authorized Contact | SHAUNTAVIA WILLIAMS President 972-816-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-10-02 |