# BABS AESTHETIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luxe Radiance Aesthetic and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942067848
- **Authorized official:** MARIAN BABALOLA (PRESIDENT)
- **Authorized official phone:** (850) 294-1761

## Contact information

- **Practice address:** 715 2ND AVE N, CLANTON, AL 35045-3424
- **Practice address phone:** (850) 294-1761
- **Mailing address:** 9539 WARHAWK RD, JACKSONVILLE, FL 32221-8040
- **Mailing address phone:** (850) 294-1761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024