| Aesthetic Beauty Lab LLC | |
|
15875 Emperor Ave Ste 120 Apple Valley MN 55124-7803 | |
| (612) 749-1703 | |
| Not Available |
| Full Name | Aesthetic Beauty Lab LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 15875 Emperor Ave Ste 120, Apple Valley, Minnesota |
| Authorized Official Name and Position | Leonida Nikita Musta (OWNER) |
| Authorized Official Contact | 6127491703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Beauty Lab LLC 15875 Emperor Ave Ste 120 Apple Valley MN 55124-7803 Ph: (612) 749-1703 | Aesthetic Beauty Lab LLC 15875 Emperor Ave Ste 120 Apple Valley MN 55124-7803 Ph: (612) 749-1703 |
| NPI Number | 1255127528 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255127528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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