| NPI | 1588822076 |
|---|---|
| Doing Business As | BODY RENAISSANCE HAIR RESTORATION |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Vice President 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 4022008) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |