| NPI | 1184308108 |
|---|---|
| Doing Business As | CRAFT LASER CLINIC |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED FAROOQUE Owner/Doctor 904-379-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374700000X Technician |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |