NPI | 1437813904 |
---|---|
Doing Business As | STUDIO 48 MED SPA |
Entity Type | Organization |
Authorized Contact | JENNIFER ANDRES Lead Biller 480-500-1248 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-10-29 |
Last Update Date | 2022-01-28 |