Organization
THE GOLDEN ROSE WIG SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA JUNE GENDRON (PROPRIETOR/LICENSED COSMETOLOGIST)
(401) 946-7673
Entity
Organization
Contact information
Practice address
663 OAKLAWN AVE, CRANSTON, RI 02920-3829
(401) 946-7673
(401) 946-7674
Mailing address
663 OAKLAWN AVE, CRANSTON, RI 02920-3829
(401) 946-7673
(401) 946-7674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HI06907
RI
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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