A Wig Boutique Etc.

NPI #1013248806 in Pensacola, Florida

Provider Information

NPI Number: 1013248806
Entity Type: Organization
Organization Name: A Wig Boutique Etc.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jan 19, 2010
Last Updated: Jan 19, 2010

Practice Location

Address: 6707 PLANTATION RD
Address 2: SUITE C3
City: Pensacola
State: Florida
ZIP Code: 32504-6214
Phone: (850) 476-1916

Authorized Official

Name: MICHELLE BLAKENEY
Title: OWNER/OPERATOR
Phone: (850) 476-1916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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