Healthcare Provider Details

I. General information

NPI: 1447166921
Provider Name (Legal Business Name): SANTE ET BEAUTE MED SPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6735 E BROADWAY BLVD
TUCSON AZ
85710-2806
US

IV. Provider business mailing address

6735 E BROADWAY BLVD
TUCSON AZ
85710-2806
US

V. Phone/Fax

Practice location:
  • Phone: 520-372-8523
  • Fax:
Mailing address:
  • Phone: 520-372-8523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY LYNN CANTU
Title or Position: OWNER
Credential: ANP-C
Phone: 520-372-8523