| NPI | 1891160552 |
|---|---|
| Doing Business As | JUVIA MED SPA |
| Entity Type | Organization |
| Authorized Contact | CHERI DAVUS Credentialing Manager 972-792-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N5550) |
| Additional Taxonomies | 208VP0000X (Licence: TX N5550) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |