| NPI | 1801566336 |
|---|---|
| Doing Business As | REJUVENESSSENCE AGE MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | FREDERICK COVILLE Sole Member 609-232-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |