Elegance Lace Wigs
NPI #1700104601 in Carrboro, North Carolina
Provider Information
- NPI Number
- 1700104601
- Entity Type
- Organization
- Organization Name
- Elegance Lace Wigs
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 17, 2010
- Last Updated
- May 17, 2010
Practice Location
- Address
- 401 NC HIGHWAY 54 APT B3
- City
- Carrboro
- State
- North Carolina
- ZIP Code
- 27510-2103
- Phone
- (919) 672-7912
Authorized Official
- Name
- TIKISHA ROGERS
- Title
- OWNER
- Phone
- (919) 672-7912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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