| NPI | 1700426137 |
|---|---|
| Doing Business As | FACESOFEXOTICISM |
| Entity Type | Organization |
| Authorized Contact | MOSHELL ABRIANA WRIGHT President 631-983-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |