Build-A-Wig
Prosthetic/Orthotic Supplier in Baton Rouge, LA. Organization (NPI-2).
NPI number1841978376
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1841978376
- Entity type
- Organization (NPI-2)
- Legal business name
- Build-A-Wig
- Organization subpart
- Yes
- Enumeration date
- Jul 5, 2023
- Certification date
- Jul 5, 2023
- Last updated
- Jul 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
149 Cora DrBaton Rouge, LA 70815-4202
Phone 225-223-8053
Mailing address
9442 Country Lake DrBaton Rouge, LA 70817-7027
Phone 225-223-8053
Authorized official
Jerica Lafayette
Owner
2252238053
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All 30 Prosthetic/Orthotic Supplier providers in Baton Rouge · All 16,776 providers in Baton Rouge
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