Organization
EPIC LOOKS HAIR AND WIGS COLLECTION LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYON SHEPHERD (CRANIAL PROTHESIS)
(863) 618-8402
Entity
Organization
Contact information
Practice address
6250 CYPRESS GARDENS BLVD STE 27, WINTER HAVEN, FL 33884-3158
(954) 951-4310
Mailing address
1213 CODA CT # 31, DUNDEE, FL 33838-4038
(863) 618-8402
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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