Organization
HOUSE OF Q RIGGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARQUITA RIGGINS (NON-SURGICAL HAIR REPLACEMENT)
(352) 575-7032
Entity
Organization
Contact information
Practice address
200 NE 1ST ST, SUITE 117, GAINESVILLE, FL 32601-5311
(352) 575-7032
Mailing address
2917 NE 16TH TER, GAINESVILLE, FL 32609-3234
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1220368
FL
Other
Enumeration date
05/03/2016
Last updated
06/02/2016
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