| NPI | 1790016145 |
|---|---|
| Doing Business As | PROSTHETIC WIG CENTER INC. |
| Entity Type | Organization |
| Authorized Contact | BRENDA FAYE BARNES CEO Prosthetic Wig Center Inc. 251-259-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 63085) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-07-29 |