| NPI | 1982143129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNTIONEEK MARSHELLE BOSTON Hair Loss Specialist 678-744-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |