NPI | 1427602689 |
---|---|
Former Legal Business Name | LA BEAUTE AESTHETICS MEDICINE |
Entity Type | Organization |
Authorized Contact | MARINA VLADIMIROVNA BACHURINA Sole Mbr 760-715-6440 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-07-26 |