| NPI | 1922867720 |
|---|---|
| Doing Business As | TRACE BODY REJUVENATION |
| Entity Type | Organization |
| Authorized Contact | ANDREW RAYMOND KALUZA Co Founder 254-495-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |