| NPI | 1245830389 |
|---|---|
| Former Legal Business Name | ADVANCED SKINCARE, PAC |
| Entity Type | Organization |
| Authorized Contact | SUZANNE FREESEMANN CEO 714-879-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2021-02-08 |