NPI 1073382636

Enhanced Aesthetics and Wellness

Organisation Clinic/Center Eagle, ID

Practice location

Address: 367 S Academy Ln, Eagle, ID 83616-7470
Phone: (985) 778-7582

Authorised official

Name: Alexandria Green
Title: Owner / Provider
Phone: (985) 778-7582

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1073382636
Entity type: Organization
NPI issued: 25 Dec 2023
Record last updated: 26 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.