Provider Demographics
NPI:1023681681
Name:FACE AND BODY SOLUTIONS, INC.
Entity type:Organization
Organization Name:FACE AND BODY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CLORIS
Authorized Official - Last Name:KIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LE, CMA, AASOSH
Authorized Official - Phone:916-996-3435
Mailing Address - Street 1:1850 SIERRA GARDENS DR STE 8
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2912
Mailing Address - Country:US
Mailing Address - Phone:916-996-3435
Mailing Address - Fax:
Practice Address - Street 1:1850 SIERRA GARDENS DR STE 8
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2912
Practice Address - Country:US
Practice Address - Phone:916-996-3435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty