NPI | 1093536930 |
---|---|
Former Legal Business Name | APPLE OF THINE EYE LLC |
Entity Type | Organization |
Authorized Contact | TOMEKA LASHALL JONES Licensed Cosmetolgist/ Cpcs 812-545-7994 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2024-10-23 |
Last Update Date | 2024-10-23 |