Organization
KB WIGS & BEAUTY SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY TONY HAYNES (MANAGER)
(734) 686-0653
Entity
Organization
Contact information
Practice address
317 INDUSTRIAL PARK DR, BELLEVILLE, MI 48111-2901
(734) 697-6327
(734) 697-9177
Mailing address
317 INDUSTRIAL PARK DR, BELLEVILLE, MI 48111-2901
(734) 697-6327
(734) 697-9177
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
335E00000X
MI
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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