Organization · Type 2 NPI
Tidewater Medspa PLLC
Health Service Clinic/Center · Portsmouth, VA
NPI number
1356099113
Active
Practice location
3400 Airline Blvd
Portsmouth, VA 23701-2623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
Other health service clinic/center providers in Portsmouth
About NPI 1356099113
Tidewater Medspa PLLC's National Provider Identifier is 1356099113, issued on Mar 11, 2022. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Portsmouth, VA. The record was last updated on Mar 11, 2022.