| NPI | 1982412573 |
|---|---|
| Doing Business As | JAENIX MED SPA |
| Entity Type | Organization |
| Authorized Contact | JESSICA NICOLE BOGGS Owner 214-771-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2024-12-28 |