| NPI | 1053009407 |
|---|---|
| Doing Business As | THE WIG BAR |
| Entity Type | Organization |
| Authorized Contact | ARICA WILLIAMS Owner 816-916-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |