NPI | 1447932280 |
---|---|
Doing Business As | VIP IV & MEDICAL SPA, LLC |
Entity Type | Organization |
Authorized Contact | KELLEY ROBIN FARLEY Owner, Family Nurse Practitioner 480-404-4896 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-08-02 |
Last Update Date | 2024-01-11 |