NPI | 1194421156 |
---|---|
Doing Business As | REJUVENATE EYE AND FACE MEDSPA |
Entity Type | Organization |
Authorized Contact | DIANA LYNN FISHER Owner 317-207-2868 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2023-02-01 |
Last Update Date | 2023-02-01 |