Type 2 organization · NPI 1306655253
AESTHETIC HAVEN
363L00000X · TIVERTON, RI
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 363L00000X | 363L00000X | Primary |
| 101YM0800X | 101YM0800X | Additional |
| 163WG0000X | 163WG0000X | Additional |
| 261QP2300X | 261QP2300X | Additional |
| 363LF0000X | 363LF0000X | Additional |
| 363LP2300X | 363LP2300X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s