| NPI | 1174411102 |
|---|---|
| Former Legal Business Name | JB AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | HOLLY VALENTINE Owner/Np 225-931-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-07-27 |