Organization
MARIPOSA ADVANCED AESTHETICS, A PROFESSIONAL NURSING CORPORATION
Active
Other names
Mariposa Advanced Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH FOUCH NP (PRESIDENT)
(209) 769-4015
Entity
Organization
Contact information
Practice address
5077 BULLION ST, MARIPOSA, CA 95338
(209) 769-4015
Mailing address
5077 BULLION ST, P.O. BOX 5008-358, MARIPOSA, CA 95338
(209) 769-4015
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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