| NPI | 1245407998 |
|---|---|
| Doing Business As | MABELINE WIG COMPANY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT ABRAHAM President 319-363-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 1-57-016146) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |