| NPI | 1285007849 |
|---|---|
| Doing Business As | BRAVADAS WIGS & EXTENSIONS |
| Entity Type | Organization |
| Authorized Contact | TRACY HOBBS VP Of Operations 402-397-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |