| NPI | 1740050160 |
|---|---|
| Doing Business As | MEDICAL WIG SUPPLY |
| Entity Type | Organization |
| Authorized Contact | NIKKI A RACHAL Owner Operator 702-904-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2026-05-07 |