Organization
JOYCE'S WIG VILLA INC
Active
Other names
Wig Villa
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN KWAK (MANAGER)
(407) 894-7174
Entity
Organization
Contact information
Practice address
4992 E COLONIAL DR, ORLANDO, FL 32803-4312
(407) 894-7174
Mailing address
4992 E COLONIAL DR, ORLANDO, FL 32803-4312
(407) 894-7174
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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