Organization
HEAVENLY MEDICAL AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY CEVEN (PRESIDENT)
(508) 317-2502
Entity
Organization
Contact information
Practice address
345 FRONT ST STE 2, MARION, MA 02738-1583
(508) 317-2502
(508) 687-3324
Mailing address
345 FRONT ST STE 2, MARION, MA 02738-1583
(508) 317-2502
(508) 687-3324
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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