Organization
THE WIG GALLERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA ANN PETRIE (OWNER)
(360) 477-4612
Entity
Organization
Contact information
Practice address
330 E 1ST ST STE 3, PORT ANGELES, WA 98362-3133
(360) 477-4612
Mailing address
330 E 1ST ST STE 3, PORT ANGELES, WA 98362-3133
(360) 477-4612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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