NPI | 1487468583 |
---|---|
Doing Business As | DEVOUS AESTHETIC |
Entity Type | Organization |
Authorized Contact | KATHY S DEVOUS Owner 618-599-0342 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2025-02-07 |
Last Update Date | 2025-02-07 |