| NPI | 1275206872 |
|---|---|
| Former Legal Business Name | DERMWATTS LLC |
| Entity Type | Organization |
| Authorized Contact | ERIKA T WATTS OQUENDO Sole Mbr 787-455-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |