Organization
WIGSLAYERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALALAH N SAUNDERS (CEO)
(480) 356-2118
Entity
Organization
Contact information
Practice address
2520 S 90TH DR, TOLLESON, AZ 85353-6928
(480) 356-2118
Mailing address
PO BOX 511, TOLLESON, AZ 85353-0511
(480) 356-2118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/17/2023
Last updated
05/02/2023
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