| NPI | 1982240693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISCHEL DAVIS Licensed Cosmetologist/Cmf 504-635-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-06-17 |