The London Knot Wig Boutique
NPI #1568049138 in Capitol Heights, Maryland
Provider Information
- NPI Number
- 1568049138
- Entity Type
- Organization
- Organization Name
- The London Knot Wig Boutique
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 28, 2021
- Last Updated
- Mar 28, 2021
Practice Location
- Address
- 6957 AQUAMARINE CT
- City
- Capitol Heights
- State
- Maryland
- ZIP Code
- 20743-1879
- Phone
- (301) 792-4607
Authorized Official
- Name
- KIERRA LASHAE ROYSTER
- Title
- ADMIN DIRECTOR
- Phone
- (301) 792-4607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies |
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