| NPI | 1750019147 |
|---|---|
| Doing Business As | BOTOX IN THE PARK |
| Entity Type | Organization |
| Authorized Contact | LESLIE CASIAS Owner/Provider 206-717-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2023-07-26 |