NPI 1164178505
Mejestic Hair Luxury Wigs & Extensions LLC
Practice location
- Address
- 329 Manhattan Dr, Burlington, VT 05401-5544
- Phone
- (386) 991-1109
- Fax
- (802) 419-4847
- Mailing address
- 70 S Winooski Ave Unit 298, Burlington, VT 05401-3898
Authorised official
- Name
- Nakima Venise Mercer
- Title
- Owner
- Phone
- (386) 991-1109
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1164178505
- Entity type
- Organization
- NPI issued
- 24 Feb 2022
- Record last updated
- 24 Feb 2022
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.