| NPI | 1033554217 |
|---|---|
| Doing Business As | BELLA DERMA SPA |
| Entity Type | Organization |
| Authorized Contact | DEMETRIA A CLARKSON Owner, Licensed Esthetician 919-862-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC E5619) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |