Organization
I.B. MEDICAL AESTHETIQUES & WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA M. BUENVENIDA DNP (OWNER)
(619) 201-3858
Entity
Organization
Contact information
Practice address
1555 PALM AVE STE J2, SAN DIEGO, CA 92154-1012
(619) 490-3112
Mailing address
1555 PALM AVE STE J2, SAN DIEGO, CA 92154-1012
(619) 490-3112
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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