|Entity Type||Healthcare Provider|
|Active||Over 10 years ago|
|Name||BRIAN LAMONT BRIAN|
|912 ASHE ST
GREENSBORO NC, 27406-1204, US
|853 BLAZINGWOOD DR
GREENSBORO NC, 27406-8228, US
|License State||North Carolina|
|Remove 1457404709 NPI Number|
According to our database, Youthful Image Inc NPI is 1457404709, taxonomy code is 101YM0800X and license number is 041746, license state is located at North Carolina. Youthful Image Inc physically located at 912 Ashe St, Greensboro NC, 27406-1204. NPI Number 1033115704 has the healthcare provider type.
1457404709 NPI number is provided on an as is basis without warranty of any kind. 1457404709 is maintained by the National Plan & Provider Enumeration System. The contents of Youthful Image Inc are for informational purposes only.