D.d. Daughters Lace Wig Beautique, LLC
NPI #1205375706 in Willow Grove, Pennsylvania
Provider Information
- NPI Number
- 1205375706
- Entity Type
- Organization
- Organization Name
- D.d. Daughters Lace Wig Beautique, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 16, 2017
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 52 N YORK ROAD, SALON
- City
- Willow Grove
- State
- Pennsylvania
- ZIP Code
- 19090
- Phone
- (215) 346-2555
Authorized Official
- Name
- MS. MYISHA DAKETA MILLER, COSMETOLOGIST
- Title
- CRANIAL PROSTHESIS SPECIALIST/OWNER
- Phone
- (267) 453-9855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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