Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1003606435 |
| LBN Legal business name | GLOW AESTHETICS & HORMONE LLC |
| Authorized official | EMILY MILLER - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/08/2025 |
| Last updated | 05/10/2025 - More than a year ago |
| Identifiers | n/a |
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