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Enhanced Aesthetics and Wellness — NPI 1073382636, Eagle, ID | NPI Central

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NPI 1073382636

OrganizationActive

Enhanced Aesthetics and Wellness

NPI 1073382636 · Clinic/Center · Eagle, ID

Provider details

NPI number: 1073382636
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Alexandria Green, Owner / Provider(985) 778-7582

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities

Practice location

367 S Academy Ln

Eagle, ID 83616-7470

Phone: (985) 778-7582

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

367 S Academy Ln

Eagle, ID 83616-7470

Registry dates

Enumerated: 2023-12-25
Last updated: 2023-12-26
Certified: 2023-12-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.