En Tirage Medspa
NPI #1144064106 in San Luis Obispo, California
Provider Information
- NPI Number
- 1144064106
- Entity Type
- Organization
- Organization Name
- En Tirage Medspa
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 24, 2024
- Last Updated
- Oct 21, 2024
Practice Location
- Address
- 4251 S HIGUERA ST STE 701
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-7742
- Phone
- (805) 505-9899
Authorized Official
- Name
- MRS. MARGARET BLISS GREENOUGH, MD
- Title
- PRESIDENT
- Phone
- (805) 550-5831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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