Enhanced Aesthetics and Wellness

NPI #1073382636 in Eagle, Idaho

Provider Information

NPI Number: 1073382636
Entity Type: Organization
Organization Name: Enhanced Aesthetics and Wellness
Primary Specialty: Clinic/Center
Enumeration Date: Dec 25, 2023
Last Updated: Dec 26, 2023

Practice Location

Address: 367 S ACADEMY LN
City: Eagle
State: Idaho
ZIP Code: 83616-7470
Phone: (985) 778-7582

Authorized Official

Name: ALEXANDRIA GREEN, FNP-BC
Title: OWNER / PROVIDER
Phone: (985) 778-7582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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