Cinderella Wigs & Breast Prosthetics
NPI #1891940201 in Tiptonville, Tennessee
Provider Information
- NPI Number
- 1891940201
- Entity Type
- Organization
- Organization Name
- Cinderella Wigs & Breast Prosthetics
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 26, 2008
- Last Updated
- Nov 4, 2012
Practice Location
- Address
- 140 LAKE DR
- City
- Tiptonville
- State
- Tennessee
- ZIP Code
- 38079-1247
- Phone
- (731) 623-4333
Authorized Official
- Name
- NORMAJEAN JOHNSON, ABC / BOC
- Title
- OWNER
- Phone
- (731) 623-4333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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