| NPI | 1942951280 |
|---|---|
| Other Name | GLAM ESTHETICS MEDICAL WIGS |
| Entity Type | Organization |
| Authorized Contact | TREASURE NICOLE GREEN Prosthetic Orthotic Provider 225-324-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-04-29 |