Organization
CLASSY SISTERS WIGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI J ZUBA RT, CFM (MANAGER)
(602) 993-8090
Entity
Organization
Contact information
Practice address
15620 N 35TH AVE, SUITE 4, PHOENIX, AZ 85053-3892
(602) 993-8090
(602) 993-9275
Mailing address
15620 N 35TH AVE, SUITE 4, PHOENIX, AZ 85053-3892
(602) 993-8090
(602) 993-9275
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07-598140-Y
AZ
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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