Myiahs Mane Factory

NPI #1457941536 in Killeen, Texas

Provider Information

NPI Number: 1457941536
Entity Type: Organization
Organization Name: Myiahs Mane Factory
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 4410 SECRETARIAT DR
City: Killeen
State: Texas
ZIP Code: 76549-4299
Phone: (816) 888-0091

Authorized Official

Name: MRS. JIAMYIAH GILMORE
Title: OWNER
Phone: (816) 888-0091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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