| NPI | 1467098434 |
|---|---|
| Doing Business As | D ESTHETIQUE MEDICAL AESTHETICS & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | REGINA MARIE HOWARD Business Owner/Nurse Practitioner 940-692-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-02-05 |