Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1184629222 |
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| LBN Legal business name | WENSLEY ORTHO LABS, INC | ||||||||||||||||||||
| Authorized official | ANDREA WENSLEY - (CO OWNER) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 06/16/2005 | ||||||||||||||||||||
| Last updated | 08/16/2018 - About 8 years ago | ||||||||||||||||||||
| Identifiers |
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