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Organization
HOUSE OF Q RIGGS LLC
Active
Organization
HOUSE OF Q RIGGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITA RIGGINS (HAIR REPLACEMENT SPECIALIST)
(352) 575-7032
Entity
Organization
Contact information
Practice address
2917 NE 16TH TER, GAINESVILLE, FL 32609-3234
(352) 575-7032
Mailing address
2917 NE 16TH TER, GAINESVILLE, FL 32609-3234
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO120920
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598110025
HAIR REPLACEMENT SPECIALIST
FL
Enumeration date
05/26/2016
Last updated
05/26/2016
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