| Empressiv Glow Hydration & Wellness | |
|
23540 State Road 54 Ste 103 Lutz FL 33559-6753 | |
| (813) 578-7438 | |
| Not Available |
| Full Name | Empressiv Glow Hydration & Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 23540 State Road 54 Ste 103, Lutz, Florida |
| Authorized Official Name and Position | Nicole Rashel Kennerly (OWNER) |
| Authorized Official Contact | 8133857058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empressiv Glow Hydration & Wellness 23540 State Road 54 Ste 103 Lutz FL 33559-6753 Ph: (813) 578-7438 | Empressiv Glow Hydration & Wellness 23540 State Road 54 Ste 103 Lutz FL 33559-6753 Ph: (813) 578-7438 |
| NPI Number | 1780381806 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780381806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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