| NPI | 1780769224 |
|---|---|
| Former Legal Business Name | VEIN & COSMETIC SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY H WIDMEYER Owner 434-847-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101049993) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-06-04 |