Organization
WAGNER AND WOMAN INC.
Active
Other names
J Michael's Salon
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA LYNN WAGNER COSMETOLOGY (PRESIDENT)
(214) 340-8566
Entity
Organization
Contact information
Practice address
101 S COIT RD, SUITE 125, RICHARDSON, TX 75080-5743
(214) 340-8566
(972) 918-0244
Mailing address
101 S COIT RD, SUITE 125, RICHARDSON, TX 75080-5743
(214) 340-8566
(972) 918-0244
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
717685
TX
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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