| NPI | 1104503390 |
|---|---|
| Doing Business As | SKIN INVY |
| Entity Type | Organization |
| Authorized Contact | ANDREA CLOTELIA WILLIAMS Registered Agent/Owner/Employee 706-829-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |