NPI | 1285311431 |
---|---|
Doing Business As | SQUAREONE AESTHETICS AND WELLNESS |
Entity Type | Organization |
Authorized Contact | TIMOTHY WOODFIN WALKER President 850-904-6767 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-06-29 |
Last Update Date | 2023-10-22 |