Organization · Type 2 NPI
Premium Lace Front Wigs
Customized Equipment (DME) · Kennesaw, GA
NPI number
1750564472
Active
Practice location
3166 Cherokee St NW, Suite 102
Kennesaw, GA 30144-2883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
3 other providers at this address
Other customized equipment (dme) providers in Kennesaw
About NPI 1750564472
Premium Lace Front Wigs's National Provider Identifier is 1750564472, issued on Dec 17, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Kennesaw, GA. The record was last updated on Dec 17, 2007.