NPI | 1801589627 |
---|---|
Doing Business As | THE SKIN AND AESTHETICS CLINIC |
Entity Type | Organization |
Authorized Contact | BLAKELEE PAIGE SMITH Owner 931-260-0327 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-05-29 |
Last Update Date | 2023-05-29 |