NPI | 1508451998 |
---|---|
Doing Business As | VIRTUOUS STYLEZ WIG AND HAIR BAR |
Entity Type | Organization |
Authorized Contact | IDA SPELLS Hair Loss Specialist/Owner 317-514-2868 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2021-03-08 |
Last Update Date | 2023-03-20 |