REJUVENATION MEDSPA

BRIDGEPORT, WV
NPI1780158287
Entity TypeOrganization
Authorized ContactTIMOTHY MICHAEL PEASAK
Owner/Provider
304-841-1293
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2019-01-17
Last Update Date2019-01-17
Business Address
REJUVENATION MEDSPA
1400 JOHNSON AVE STE 4A
BRIDGEPORT, WV 26330-1063
Phone number: 304-848-9998
Mailing Address
REJUVENATION MEDSPA
1400 JOHNSON AVE STE 4A
BRIDGEPORT, WV 26330-1063
Phone number: 304-848-9998