| NPI | 1467296699 |
|---|---|
| Former Legal Business Name | PLUSH MEDICAL WIGS LLC |
| Entity Type | Organization |
| Authorized Contact | JONIA M COLEMAN CEO 480-549-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |