Nevaeh Vein and Laser Medispa

NPI #1528372943 in Whitefish Bay, Wisconsin

Provider Information

NPI Number: 1528372943
Entity Type: Organization
Organization Name: Nevaeh Vein and Laser Medispa
Primary Specialty: Clinic/Center
Enumeration Date: Jul 27, 2010
Last Updated: Jul 27, 2010

Practice Location

Address: 103 E SILVER SPRING DR
City: Whitefish Bay
State: Wisconsin
ZIP Code: 53217-4702
Phone: (414) 967-1716

Authorized Official

Name: PAMELA E SHELDON, RN
Title: RN/OWNER
Phone: (414) 967-1716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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