Organization
HEARTQUEST SALON & WIG STUDIO LTD CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA LYNNE WEGENER (OWNER)
(580) 233-8333
Entity
Organization
Contact information
Practice address
1216 W WILLOW RD, SUITE A, ENID, OK 73703-2532
(580) 233-8333
Mailing address
1216 W WILLOW RD, SUITE A, ENID, OK 73703-2532
(580) 233-8333
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
59064-003
OK
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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