Organization
BRANDIS WIG SALON
Active
Other names
Brandis Hair Company DBA Brandis Wig Salon
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA K CONNOR (OWNER/PRESIDENT)
(904) 771-7355
Entity
Organization
Contact information
Practice address
7275 103RD ST, JACKSONVILLE, FL 32210
(904) 771-7355
(904) 772-8316
Mailing address
7275 103RD ST, JACKSONVILLE, FL 32210
(904) 771-7355
(904) 772-8316
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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