Organization
JAI RESTORATIVE AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (BILLING MANGER)
(407) 982-4876
Entity
Organization
Contact information
Practice address
5808A W 36TH ST, ST LOUIS PARK, MN 55416-5108
(612) 636-1808
Mailing address
5808A W 36TH ST, ST LOUIS PARK, MN 55416-5108
(612) 636-1808
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
08/29/2025
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