| NPI | 1336988476 |
|---|---|
| Doing Business As | REVEAL MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | CHANTELLE ELMER Owner/Provider 801-367-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |