| NPI | 1548953177 |
|---|---|
| Doing Business As | ADVANCED BEAUTY SPA LLC |
| Entity Type | Organization |
| Authorized Contact | MISTI BRIANA THOMPSON Manager 623-203-1791 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |