Organization
1ST CLAS AESTHETICS & HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA L BIBIO CRNP (OWNER)
(405) 881-9773
Entity
Organization
Contact information
Practice address
1020 EDGEWOOD RD, EDGEWOOD, MD 21040-1606
(443) 409-6619
Mailing address
1369 TRALEE CIR, ABERDEEN, MD 21001-2643
(405) 881-9773
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N99885
—
MD
Enumeration date
02/07/2023
Last updated
02/07/2023
Update your record
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