| NPI | 1932957735 |
|---|---|
| Doing Business As | MANTRA AESTHETIC STUDIO |
| Entity Type | Organization |
| Authorized Contact | ERIKA COOK Owner 757-201-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |