Organization
QUEEN M BEAUTY SUPPLIES
Active
Other names
Makiyas Wig Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MAKIYA RICHARDSON (DIRECTOR)
(910) 568-3105
Entity
Organization
Contact information
Practice address
6900 CLIFFDALE RD STE 107, FAYETTEVILLE, NC 28314-2872
(910) 568-3105
Mailing address
6900 CLIFFDALE RD STE 107, FAYETTEVILLE, NC 28314-2872
(910) 568-3105
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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