Organization
UNTANGLED MEDICAL WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WASHINGTON (OWNER)
(586) 453-9134
Entity
Organization
Contact information
Practice address
23059 COOLIDGE HWY, OAK PARK, MI 48237-2071
(586) 453-9134
Mailing address
23059 COOLIDGE HWY, OAK PARK, MI 48237-2071
(586) 453-9134
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
10/17/2023
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