| NPI | 1104471747 |
|---|---|
| Doing Business As | ETOWN MEDICAL WEIGHT LOSS AND AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | BISONA YEBA BENNETT Owner 210-219-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |