NPI | 1316047483 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA M JONES Owner/President 800-994-0504 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: VT 0420010026) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-08-09 |