NPI 1558931691

Coeur D'Alene Wigs LLC

Organisation Prosthetist Coeur D Alene, ID

Practice location

Address: 296 W Sunset Ave STE 17, Coeur D Alene, ID 83815-8367
Phone: (208) 551-2761
Mailing address: PO Box 1073, Hayden, ID 83835-1073

Authorised official

Name: Jennifer Lynn Lindley
Title: Owner/Partner
Phone: (208) 551-2761

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1558931691
Entity type: Organization
NPI issued: 30 Jun 2021
Record last updated: 30 Jun 2021

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.