| NPI | 1952955627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLISE YVETTE CHARLOT Owner/Stylist President 904-716-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |