| NPI | 1447705843 |
|---|---|
| Doing Business As | DEFYNE MED SPA AND WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | KRISTEN MCDANIEL Office Manager 870-520-6241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |