NPI | 1780873968 |
---|---|
Other Name | INTEGRATIVE MED-SPA |
Entity Type | Organization |
Authorized Contact | LAUREN M MOZDY Owner 814-833-1756 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: PA MD057038L) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2008-07-10 |