| NPI | 1659098143 |
|---|---|
| Other Name | LOVELY CUSTOM WIGS |
| Entity Type | Organization |
| Authorized Contact | JAMESHA JOHNSON Owner 972-878-3102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |