NPI | 1972123347 |
---|---|
Former Legal Business Name | SL AESTHETICS, LLC |
Entity Type | Organization |
Authorized Contact | SARAH JAYNE LANDERS Owner 785-424-3358 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2020-04-25 |
Last Update Date | 2021-06-14 |