NPI | 1972330017 |
---|---|
Doing Business As | BEAUTY & WELLNESS MED SPA |
Entity Type | Organization |
Authorized Contact | LISA RICHARDS Owner 813-409-6931 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2024-09-13 |
Last Update Date | 2024-09-13 |