| NPI | 1679399927 |
|---|---|
| Doing Business As | CUSTOM WIGS CO |
| Entity Type | Organization |
| Authorized Contact | EMEARA BURNS Manager 314-680-7492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |