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 |