| NPI | 1689566275 |
|---|---|
| Doing Business As | COLONIAL MEDSPA AND FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DANA DE LOS SANTOS Owner 253-973-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |