| NPI | 1528537057 |
|---|---|
| Doing Business As | CAYCE MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | CANDYCE PAYNE Administrator 573-234-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |