| NPI | 1033651203 |
|---|---|
| Doing Business As | REFLECTIONS IMAGE CENTER & SKINCARE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | LASONDRA GRAY Managing Member 571-337-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173992) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28154063A) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |