| 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 |