NPI | 1972388445 |
---|---|
Doing Business As | BRAVE ESSENTIALS |
Entity Type | Organization |
Authorized Contact | MONIQUE R FULKS CEO 314-922-3553 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2023-08-31 |
Last Update Date | 2023-08-31 |