Organization
CROWN OF GLORY TAILORED TO YOU WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEATRICE KATHERINE CORN (CEO/ FOUNDER)
(330) 459-2140
Entity
Organization
Contact information
Practice address
370 E THORNTON ST, AKRON, OH 44311-1747
(330) 459-2140
Mailing address
370 E THORNTON ST, AKRON, OH 44311-1747
(330) 459-2140
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
200917501226
OH
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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