NPI | 1285465864 |
---|---|
Doing Business As | NOVA MEDSPA |
Entity Type | Organization |
Authorized Contact | ELIZABETH PRESTON Provider 563-599-7422 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-08-13 |