| NPI | 1033805635 |
|---|---|
| Doing Business As | LIV MED SPA |
| Entity Type | Organization |
| Authorized Contact | GRETCHEN WISE Owner 406-224-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |