Organization
IV BAR MED-SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI COLVIN-JACKSON RN (CEO)
(513) 237-6414
Entity
Organization
Contact information
Practice address
7577 CENTRAL PARKE BLVD STE 213, MASON, OH 45040-6829
(513) 237-6414
(513) 392-4302
Mailing address
7577 CENTRAL PARKE BLVD STE 213, MASON, OH 45040-6829
(513) 237-6414
(513) 392-4302
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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