| NPI | 1952153249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SHEMWELL Certified Hair Loss Specialist 904-670-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 225000000X Orthotic Fitter | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |