Organization
COSMETIC AND AESTHETIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALDOUN JABI (MANAGING MEMBER)
(216) 456-7741
Entity
Organization
Contact information
Practice address
3920 S ALMA SCHOOL RD STE 8, CHANDLER, AZ 85248-4511
(216) 456-7741
Mailing address
1392 E BARTLETT WAY, CHANDLER, AZ 85249-3132
(216) 456-7741
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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