| NPI | 1184305039 |
|---|---|
| Other Name | EVERLASTING MED SPA |
| Entity Type | Organization |
| Authorized Contact | KAYLA OTT Owner 432-770-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |