Organization
SHONDA WIGS REFINING BOUTIQUE LLC.
Active
Other names
Shonda Wigs Refining Boutique LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA RENEE GOBERT COSMETOLOGIST (OWNER)
(337) 244-2933
Entity
Organization
Contact information
Practice address
2105 10TH ST, LAKE CHARLES, LA 70601-6537
(337) 244-2933
Mailing address
2105 10TH ST, LAKE CHARLES, LA 70601-6537
(337) 244-2933
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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