| NPI | 1013453117 |
|---|---|
| Doing Business As | ARIZONA WIG BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WATERS Owner 480-429-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |