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Organization

HAIR CULTURZ WIG MEDICAL CRANIAL PROSTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY MOORE CERTIFIED SPECIALIST (PARTNER)
(617) 581-8063
Entity
Organization

Contact information

Practice address
86 ORMOND ST, BOSTON, MA 02126-1508
(617) 581-8063
Mailing address
86 ORMOND ST, BOSTON, MA 02126-1508
(617) 581-8063

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
05/21/2024
Last updated
05/21/2024
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