| NPI | 1104422211 |
|---|---|
| Doing Business As | CHANEL'S WIG CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMBER C BAKER Owner 321-914-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2020-12-05 |