NPI | 1376205229 |
---|---|
Doing Business As | JAYA KULANGARA NURSE PRACTITIONER |
Entity Type | Organization |
Authorized Contact | JAYA SHOT BEAUTY KULANGARA CEO 310-866-8529 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2021-10-07 |
Last Update Date | 2021-10-07 |