Xtrim Med Spa

NPI 1649509258 - Family Medicine - 207Q00000X

NPI Details
NPI 1649509258
Enumeration Date 12/09/2009
Last Updated 12/09/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RENO RENO
Position OWNER
Phone (480) 507-8181
Fax
Practice Location
2915 E BASELINE RD
SUITE 107
GILBERT AZ, 85234-2425, US
Phone (480) 507-8181
Fax
Business Location
1757 E BASELINE RD
SUITE 137
GILBERT AZ, 85233-1532, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number 33677
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According to our database, Xtrim Med Spa NPI is 1649509258, taxonomy code is 207Q00000X and license number is 33677, license state is located at Arizona. Xtrim Med Spa physically located at 2915 E Baseline Rd, Gilbert AZ, 85234-2425. NPI Number 1033115704 has the healthcare provider type.

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1649509258 NPI number is provided on an as is basis without warranty of any kind. 1649509258 is maintained by the National Plan & Provider Enumeration System. The contents of Xtrim Med Spa are for informational purposes only.