BELLE MEDICAL WIG PROVIDER

INDIANAPOLIS, IN
NPI1710591623
Entity TypeOrganization
Authorized ContactMATHERNE ESPERANCE
Owner
317-918-9591
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2020-09-08
Last Update Date2020-09-08
Business Address
BELLE MEDICAL WIG PROVIDER
1300 E 86TH ST
INDIANAPOLIS, IN 46240-1910
Phone number: 317-918-9591
Mailing Address
BELLE MEDICAL WIG PROVIDER
4047 BRAIDED STREAM WAY APT 1D
INDIANAPOLIS, IN 46268-3722
Phone number: