Beachside Aesthetics & Wellness LLC
Clinic/Center, Multi-Specialty in Honolulu, HI. Organization (NPI-2).
NPI number1164242541
StatusActive
Last updated in NPPESDec 1, 2024
Details
- NPI
- 1164242541
- Entity type
- Organization (NPI-2)
- Legal business name
- Beachside Aesthetics & Wellness LLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2024
- Certification date
- Dec 1, 2024
- Last updated
- Dec 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
1441 Kapiolani Blvd Ste 1401Honolulu, HI 96814-4407
Phone 575-626-9720
Mailing address
1210 Hall DrRoswell, NM 88201-1127
Authorized official
Monica Zelkowski
Nurse Practitioner
8084905340
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