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Organization
AESTHETIC ARTISTRY SURGICAL AND MEDICAL CENTER LLC
Active
Organization
AESTHETIC ARTISTRY SURGICAL AND MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BOWMAN (DELEGATED OFFICIAL)
(208) 559-7417
Entity
Organization
Contact information
Practice address
1841 IRON POINT RD, FOLSOM, CA 95630-8838
(916) 983-9895
(916) 983-9850
Mailing address
2220 E BIDWELL ST, FOLSOM, CA 95630-3546
(916) 983-9895
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A63302
CA
Other
Enumeration date
11/25/2008
Last updated
06/16/2018
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