Organization
EMBRASE, LLC
Active
Other names
Embrase Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DALE SLUSSER (OFFICE MANAGER)
(606) 260-8811
Entity
Organization
Contact information
Practice address
202 N HILL ST, LONDON, KY 40741-1360
(606) 260-8811
(606) 260-8812
Mailing address
202 N HILL ST, LONDON, KY 40741-1360
(606) 260-8811
(606) 260-8812
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
07/10/2023
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