NPI 1013248806
A Wig Boutique Etc.
Practice location
- Address
- 6707 Plantation Rd Suite C3, Pensacola, FL 32504-6214
- Phone
- (850) 476-1916
- Fax
- (850) 476-1916
Authorised official
- Name
- Michelle Blakeney
- Title
- Owner/Operator
- Phone
- (850) 476-1916
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1013248806
- Entity type
- Organization
- NPI issued
- 19 Jan 2010
- Record last updated
- 19 Jan 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.