Organization
LADYJ WIGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ROLLINS (CEO/ CRANIAL PROSTHESIS SPECIALIST)
(757) 880-7915
Entity
Organization
Contact information
Practice address
481 MCLAWS CIR STE 1, WILLIAMSBURG, VA 23185-5641
(757) 880-7915
Mailing address
129 PEBBLE BEACH LN, WILLIAMSBURG, VA 23185-5958
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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