Organization
PROSTHETIC WIG CENTER INC.
Active
Organization
PROSTHETIC WIG CENTER INC.
Active
Other names
Prosthetic Wig Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA FAYE BARNES MASTER,INSTRUCTOR,CE (CEO PROSTHETIC WIG CENTER INC.)
(251) 259-7233
Entity
Organization
Contact information
Practice address
90 N SAGE AVE, MOBILE, AL 36607-2638
(251) 259-7233
Mailing address
2282 MOSS CREEK CT, MOBILE, AL 36695-3783
(251) 259-7233
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
63085
AL
Other
Enumeration date
01/25/2010
Last updated
07/29/2010
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