| NPI | 1295362234 |
|---|---|
| Doing Business As | MODESTY ELECTROLOGY |
| Entity Type | Organization |
| Authorized Contact | MODESTY J ISAGUIRRE Owner 909-954-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |