Organization
NEW HAIR, LLC
Active
Other names
Nell's Wigs and Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY MARIE NELLEN-KOLZE CMF (OWNER/MEMBER)
(920) 393-4912
Entity
Organization
Contact information
Practice address
1445 NORTH ROAD, UNIT #1, GREEN BAY, WI 54313-5725
(920) 393-4912
Mailing address
1445 NORTH ROAD, UNIT 1, GREEN BAY, WI 54313-5725
(920) 393-4912
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/26/2012
Last updated
01/21/2022
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