| NPI | 1902393168 |
|---|---|
| Doing Business As | DEJA VU MED SPA |
| Entity Type | Organization |
| Authorized Contact | JOHN P BEAUCLAIR Owner6266960049 626-696-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G17614) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |