| NPI | 1487945739 |
|---|---|
| Doing Business As | WIG VAN |
| Entity Type | Organization |
| Authorized Contact | JACK G SLAGLE Managing Member 619-241-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |