Organization
MAGNIFICENT ADVANCED AESTHETICS PLLC
Active
Other names
Magnificent Advanced Aesthetics PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIREYA LISS NP (CEO)
(972) 741-0484
Entity
Organization
Contact information
Practice address
333 E BETHANY DR STE J130, ALLEN, TX 75002-3826
(972) 741-0484
Mailing address
333 E BETHANY DR STE J130, ALLEN, TX 75002-3826
(972) 741-0484
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
11/16/2022
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