| NPI | 1033769559 |
|---|---|
| Doing Business As | PRESTIGE MEDICAL REJUVENATION CENTER |
| Entity Type | Organization |
| Authorized Contact | DARIN E JACKSON Owner 402-334-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-11-11 |