FORTIETH & VINEYARD COMPANY LLC

CHESTERFIELD, MO
NPI1851071898
Doing Business AsWIGS 2 WELLNESS
Entity TypeOrganization
Authorized ContactSTACEY YVONNE PEGUES
Cranial Prosthesis Specialists
314-496-0178
Organization Subpart ?No
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2023-07-24
Last Update Date2023-07-24
Business Address
FORTIETH & VINEYARD COMPANY LLC
10781 NORTH OUTER 40 ROAD 117
CHESTERFIELD, MO 63005
Phone number: 314-496-0178
Mailing Address
FORTIETH & VINEYARD COMPANY LLC
2369 WESFORD DR
MARYLAND HEIGHTS, MO 63043-4147
Phone number: 314-496-0178