| NPI | 1902517790 |
|---|---|
| Former Legal Business Name | 713 WELLNESS AND AESTHETICS CENTER |
| Entity Type | Organization |
| Authorized Contact | KIRIA VALLINA Owner 832-693-5851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |