Magnificent Advanced Aesthetics Pllc

NPI #1790417541 in Allen, Texas

Provider Information

NPI Number
1790417541
Entity Type
Organization
Organization Name
Magnificent Advanced Aesthetics Pllc
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Jun 29, 2022
Last Updated
Nov 16, 2022

Practice Location

Address
333 E BETHANY DR STE J130
City
Allen
State
Texas
ZIP Code
75002-3826
Phone
(972) 741-0484

Authorized Official

Name
MRS. MIREYA LISS, NP
Title
CEO
Phone
(972) 741-0484

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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