Organization
WIGGIN OUT SALONS
Active
Other names
American Prosthetics & Design
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE WALSH OWNER (OWNER/PRESIDENT)
(949) 646-9447
Entity
Organization
Contact information
Practice address
2400 W COAST HWY, SUITE 4, NEWPORT BEACH, CA 92663-4700
(949) 646-9447
Mailing address
2400 W COAST HWY, SUITE 4, NEWPORT BEACH, CA 92663-4700
(949) 646-9447
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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