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Organization
SKINIQUE MED SPA & WELLNESS
Active
Organization
SKINIQUE MED SPA & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHARLIE VALENTE D.O. (MANAGER)
(817) 484-0300
Entity
Organization
Contact information
Practice address
3160 N TARRANT PKWY STE 404, FORT WORTH, TX 76177-8614
(817) 484-0300
Mailing address
3160 N TARRANT PKWY STE 404, FORT WORTH, TX 76177-8614
(817) 484-0300
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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