Organization
NATURAL LOOK SALON AND WIGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN MCCORMICK (OWNER/HAIRSTYLIST)
(262) 617-5218
Entity
Organization
Contact information
Practice address
4805 S. MOORLAND RD, NEW BERLIN, WI 53151
(262) 617-5218
Mailing address
426 EASTERN TRAIL, MUKWONAGO, WI 53149
(262) 617-5218
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
42649-80
WI
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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