| NPI | 1285461798 |
|---|---|
| Former Legal Business Name | PRODIGY HANDS CUSTOM WIGS BY QUAY |
| Doing Business As | PRODIGY HANDS CUSTOM WIGS BY QUAY |
| Entity Type | Organization |
| Authorized Contact | LAQUILA FIELDS CEO 248-508-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |