Monique Renee Wigs and Etc

NPI #1356858971 in Grandview, Missouri

Provider Information

NPI Number
1356858971
Entity Type
Organization
Organization Name
Monique Renee Wigs and Etc
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jan 4, 2018
Last Updated
Jan 4, 2018

Practice Location

Address
12123 BLUE RIDGE EXT STE C
ZIP Code
64030-1194
Phone
(816) 499-2233

Authorized Official

Name
ERICKA LEWIS, CERTIFIED HAIRLOSS
Title
CERTIFIED HAIRLOSS SPECIALIST
Phone
(816) 308-0132

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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