NPI | 1447949755 |
---|---|
Doing Business As | LANEYS RX WIGS |
Entity Type | Organization |
Authorized Contact | TALANDRA GIBONEY Owner 615-810-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2023-05-03 |
Last Update Date | 2023-05-03 |