NPI | 1659008597 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI G ALESSANDRINI Owner(Licensed Esthetician) 980-239-1313 |
Organization Subpart ? | Yes |
Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
Enumeration Date | 2022-08-02 |
Last Update Date | 2022-08-02 |