| NPI | 1518611904 |
|---|---|
| Doing Business As | AESTHETIC LUXURY SPA LLC |
| Entity Type | Organization |
| Authorized Contact | LASHAN ALLEN Nurse Practitioner 816-577-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2023-10-04 |