| 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 |