An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI Number | 1811681182 |
| LBN Legal business name | EAZE PAMPERME PRETTY LLC |
| Authorized official | DARLA GORDON - (OWNER/MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/08/2023 |
| Last updated | 06/08/2023 - About 3 years ago |
| Identifiers | n/a |
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