| NPI | 1235919747 |
|---|---|
| Doing Business As | ELYSIAN BEAUTY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TRACY AMERSON-RIVERS Owner 346-324-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-03-27 |