| NPI | 1841098886 |
|---|---|
| Doing Business As | BOLD BEAUTY HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | FERNANDO JOSE AVILES Owner/President 915-201-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-08-07 |