| NPI | 1043732951 |
|---|---|
| Doing Business As | HELLER FANCY MEDSPA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HELLER Owner 636-357-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RN260355) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-21 |