| NPI | 1790455590 |
|---|---|
| Doing Business As | MAGNOLIA WELLNESS & AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | KATIE LUANNE FROST Np/Owner 405-585-0485 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |