NPI | 1689320111 |
---|---|
Former Legal Business Name | BEAUTY RESTORED AND WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | RAQUEL ANN WALL Owner 435-359-3115 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-02-23 |
Last Update Date | 2023-10-31 |