| NPI | 1124521851 |
|---|---|
| Other Name | SANTE CLINIC AND MED SPA |
| Entity Type | Organization |
| Authorized Contact | RICHARD E HANSON Owner 405-640-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |