Organization
LIVS WIGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA OLIVIA SANCHEZ (OWNER/SINGLE LLC MEMBER)
(347) 706-4531
Entity
Organization
Contact information
Practice address
16 TROY ST UNIT 101, JERSEY CITY, NJ 07307-3836
(862) 216-2442
Mailing address
1078 SUMMIT AVE # 706, JERSEY CITY, NJ 07307-3438
(347) 706-4531
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/06/2023
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