Perfectly Imperfect Wig Collection
NPI #1578186409 in Lexington, Mississippi
Provider Information
- NPI Number
- 1578186409
- Entity Type
- Organization
- Organization Name
- Perfectly Imperfect Wig Collection
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 27, 2020
- Last Updated
- May 27, 2020
Practice Location
- Address
- 418 CARROLLTON AVE
- City
- Lexington
- State
- Mississippi
- ZIP Code
- 39095-3212
- Phone
- (601) 201-5625
Authorized Official
- Name
- RUGGERA RUSSELL
- Title
- OWNER
- Phone
- (601) 201-5625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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