Organization
AM BEAUTY MEDICAL WIGS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKIEA LEAK (CRANIAL PROSTHESIS SPECIALIST)
(267) 690-6529
Entity
Organization
Contact information
Practice address
1901 74TH AVE, PHILADELPHIA, PA 19138-2220
(215) 359-9620
Mailing address
1901 74TH AVE, PHILADELPHIA, PA 19138-2220
(215) 359-9620
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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