NPI 1194161117

Precision Hair & Wig Boutique

Organisation Prosthetic/Orthotic Supplier Newark, DE

Practice location

Address: 7 Liberty Plz, Newark, DE 19711-5539
Phone: (302) 369-3311
Fax: (302) 894-9358

Authorised official

Name: Sandra Marie Mercante
Title: Owner
Phone: (302) 369-3311

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence M9 0000144 (DE)

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Registry record

NPI: 1194161117
Entity type: Organization
NPI issued: 16 May 2013
Record last updated: 16 May 2013

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.