| NPI | 1952073280 |
|---|---|
| Doing Business As | OF SKIN AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CARMEN CHATTEN Owner 984-377-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |