Provider First Line Business Practice Location Address:
REJUV MEDICAL AESTHETIC CLINIC
Provider Second Line Business Practice Location Address:
3301 45TH ST S
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-356-7546
Provider Business Practice Location Address Fax Number:
855-451-8995
Provider Enumeration Date:
07/25/2006