NPI | 1154535623 |
---|---|
Doing Business As | THE FACE INSTITUTE |
Entity Type | Organization |
Authorized Contact | MATTHEW JAMES MITSCH President 757-496-4864 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: VA 0101052465) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |