The Medical Spa Of Baton Rouge

NPI 1275856270 - Family Medicine - 207Q00000X

NPI Details
NPI 1275856270
Enumeration Date 03/04/2010
Last Updated 03/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KENYATTA DAYATRA KENYATTA
Position CO-OWNER
Phone (225) 216-7885
Fax
Practice Location
7150 JEFFERSON HWY
SUITE 530
BATON ROUGE LA, 70806-8128, US
Phone (225) 216-7885
Fax
Business Location
7150 JEFFERSON HWY
SUITE 530
BATON ROUGE LA, 70806-8128, US
Phone (225) 216-7885
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 202129
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According to our database, The Medical Spa Of Baton Rouge NPI is 1275856270, taxonomy code is 207Q00000X and license number is 202129, license state is located at Louisiana. The Medical Spa Of Baton Rouge physically located at 7150 Jefferson Hwy, Baton Rouge LA, 70806-8128. NPI Number 1033115704 has the healthcare provider type.

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1275856270 NPI number is provided on an as is basis without warranty of any kind. 1275856270 is maintained by the National Plan & Provider Enumeration System. The contents of The Medical Spa Of Baton Rouge are for informational purposes only.