| NPI | 1487227872 |
|---|---|
| Doing Business As | BLUE DIAMOND MED SPA |
| Entity Type | Organization |
| Authorized Contact | VERONICA KERETI Owner 210-494-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |