Organization
LASHED QUEENS WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS PAYTON (OWNER)
(973) 641-1058
Entity
Organization
Contact information
Practice address
36 SCHINDLER CT, CHATHAM, NJ 07928
(973) 641-1058
Mailing address
36 SCHINDLER CT, CHATHAM, NJ 07928-1939
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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