| NPI | 1013289743 |
|---|---|
| Doing Business As | NELL'S WIGS AND BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | STACEY MARIE NELLEN-KOLZE Owner/Member 920-393-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2022-01-21 |