| NPI | 1053008508 |
|---|---|
| Doing Business As | EMBRASE MED SPA |
| Entity Type | Organization |
| Authorized Contact | DALE SLUSSER Office Manager 606-260-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-07-10 |