Organization
A CRANIAL PROSTHETIC WIG COMPANY, LLC
Active
Organization
A CRANIAL PROSTHETIC WIG COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANITA LETICIA SALTER PROSTHETHIC SUPPLIER (OWNER)
(425) 524-8816
Entity
Organization
Contact information
Practice address
18636 172ND PL SE, RENTON, WA 98058-7323
(425) 524-8816
Mailing address
18636 172ND PL SE, RENTON, WA 98058-7323
(425) 524-8816
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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