| NPI | 1518745447 |
|---|---|
| Doing Business As | DE-AGING MEDSPA |
| Entity Type | Organization |
| Authorized Contact | MAHER JERUDI Director 780-232-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |