Organization
THE513HAIRQUEEN WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOL M PRYOR (OWNER)
(513) 371-8122
Entity
Organization
Contact information
Practice address
3407 GLENMORE AVE STE A, CINCINNATI, OH 45211-5451
(513) 802-1705
Mailing address
3295 GAYWAY CT, CINCINNATI, OH 45239-5223
(513) 371-8122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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