| NPI | 1194936369 |
|---|---|
| Doing Business As | BAYSHORE MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | SHARON-ROSE DAVIDSON FITCH President And CEO 253-581-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: WA CH00034025) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2020-08-22 |