| NPI | 1831449362 |
|---|---|
| Former Legal Business Name | INVISILACE WIGS |
| Entity Type | Organization |
| Authorized Contact | GAIL EVETTE BERNARDO Hair Replacement 919-520-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |