NPI | 1750886784 |
---|---|
Doing Business As | AEVA AGELESS AESTHETICS CLINIC |
Entity Type | Organization |
Authorized Contact | BARBARA DEINET President 702-219-6173 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QH0100X Clinic/Center, Health Services | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2018-03-30 |
Last Update Date | 2018-09-18 |