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Organization
WELLNESS AESTHETICS CENTRAL COAST
Active
Organization
WELLNESS AESTHETICS CENTRAL COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER STANLEY MD (PROVIDER)
(831) 325-0202
Entity
Organization
Contact information
Practice address
4450 CAPITOLA RD STE 105, CAPITOLA, CA 95010-3570
(831) 325-0202
Mailing address
4450 CAPITOLA RD STE 105, CAPITOLA, CA 95010-3570
(831) 325-0202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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