NPI | 1265661680 |
---|---|
Professional Name | JESSIN BLOSSOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME143048) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME143048) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2024-11-05 |