Organization
AESTHETIC ARTISTRY SURGICAL AND MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BOWMAN (DELEGATED OFFICIAL)
(208) 559-7417
Entity
Organization
Contact information
Practice address
1841 IRON POINT RD, FOLSOM, CA 95630-8838
(916) 983-9895
(916) 983-9850
Mailing address
2220 E BIDWELL ST, FOLSOM, CA 95630-3546
(916) 983-9895
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A63302
CA
Other
Enumeration date
11/25/2008
Last updated
06/16/2018
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