Organization
KYMCO LLC
Active
Other names
Arizona Wig Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY WATERS (OWNER)
(480) 429-3778
Entity
Organization
Contact information
Practice address
7074 E 5TH AVE, SCOTTSDALE, AZ 85251-3216
(480) 329-3778
Mailing address
7074 E. FIFTH AVE, SCOTTSDALE, AZ 85251
(480) 329-3778
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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