| NPI | 1477221364 |
|---|---|
| Doing Business As | GLOW THEORY - DERMATOLOGY STUDIO |
| Entity Type | Organization |
| Authorized Contact | INSIYAH DARUGAR Family Nurse Practitioner 859-912-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |