| NPI | 1932643673 |
|---|---|
| Doing Business As | RENEW BOUTIQUE AND SPA |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KO CFO 937-395-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2023-12-15 |