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Organization
PRIVILEGE, LLC
Active
Organization
PRIVILEGE, LLC
Active
Other names
Blue Diamond Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONAS CRAFTS (OWNER)
(210) 494-2820
Entity
Organization
Contact information
Practice address
104 GALLERY CIR, STE 126, SAN ANTONIO, TX 78258-3329
(210) 494-2820
(210) 494-2002
Mailing address
104 GALLERY CIR, STE 126, SAN ANTONIO, TX 78258-3329
(210) 494-2820
(210) 494-2002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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