| NPI | 1568294098 |
|---|---|
| Other Name | FOREVER REJUVENATION & AESTHETICS |
| Other Name | FOREVER REJUVENATION & AESTHETICS, LLC |
| Entity Type | Organization |
| Authorized Contact | BIANCA VILLAR Owner, Family Pracitioner 617-416-8608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |