| NPI | 1710656491 |
|---|---|
| Doing Business As | SKIN DEEP DERMAL ARTISTRY BY LEA |
| Entity Type | Organization |
| Authorized Contact | LEA CLIFT Owner 806-392-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |