Organization
BODY RENEWAL LASER CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCIE JEAN BRENES DOM, AP (OWNER)
(941) 751-2345
Entity
Organization
Contact information
Practice address
6815 14TH ST W STE 208, BRADENTON, FL 34207-5810
(941) 751-2345
(941) 751-6336
Mailing address
6815 14TH ST W STE 208, BRADENTON, FL 34207-5810
(941) 751-2345
(941) 751-6336
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2026
FL
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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