| NPI | 1932853223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITOSHIA VASHON MITCHELL Certified Hair Loss Specialist 254-744-8242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |