NPI 1023343753

Hidden Secrets Wig & Accessories Boutique West INC.

Organisation Prosthetic/Orthotic Supplier Holland, MI

Practice location

Address: 11539 E Lakewood Blvd STE. 120, Holland, MI 49424-7730
Phone: (616) 546-9444
Fax: (616) 546-9443

Authorised official

Name: Deborah Kaye Vandenberg
Title: Ceo
Phone: (616) 820-9221

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 335E00000X (MI)

Other Prosthetic/Orthotic Supplier providers in Michigan →

Registry record

NPI: 1023343753
Entity type: Organization
NPI issued: 14 Oct 2009
Record last updated: 14 Oct 2009

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.