Organization · Type 2 NPI
The Wig Reviver
Customized Equipment (DME) · Largo, FL
NPI number
1962112474
Active
Practice location
503 36th St SE Apt C
Largo, FL 33771-2716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
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About NPI 1962112474
The Wig Reviver's National Provider Identifier is 1962112474, issued on Nov 25, 2022. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Largo, FL. The record was last updated on Nov 30, 2022.