Hidden Secrets Wig & Accessories Boutique West Inc.

NPI 1023343753 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1023343753
Enumeration Date 10/14/2009
Last Updated 10/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DEBORAH KAYE DEBORAH
Position CEO
Phone (616) 546-9444
Fax (616) 546-9443
Practice Location
11539 E LAKEWOOD BLVD
STE. 120
HOLLAND MI, 49424-7730, US
Phone (616) 546-9444
Fax (616) 546-9443
Business Location
11539 E LAKEWOOD BLVD
STE. 120
HOLLAND MI, 49424-7730, US
Phone (616) 546-9444
Fax (616) 546-9443
Toxanomy
Taxonomy Code 335E00000X
License State Michigan
License Number 335E00000X
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According to our database, Hidden Secrets Wig & Accessories Boutique West Inc. NPI is 1023343753, taxonomy code is 335E00000X and license number is 335E00000X, license state is located at Michigan. Hidden Secrets Wig & Accessories Boutique West Inc. physically located at 11539 E Lakewood Blvd, Holland MI, 49424-7730. NPI Number 1033115704 has the healthcare provider type.

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1023343753 NPI number is provided on an as is basis without warranty of any kind. 1023343753 is maintained by the National Plan & Provider Enumeration System. The contents of Hidden Secrets Wig & Accessories Boutique West Inc. are for informational purposes only.