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Organization
BLEU MED SPA & LASER CLINIC, LLC
Active
Organization
BLEU MED SPA & LASER CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MITRIK (OWNER)
(985) 201-9976
Entity
Organization
Contact information
Practice address
3769 PONTCHARTRAIN DR STE 5, SLIDELL, LA 70458-4852
(985) 201-9976
Mailing address
118 GRAND CHAMPIONS LN, SLIDELL, LA 70458-8852
(985) 201-9976
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
02/03/2023
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