| NPI | 1508501305 |
|---|---|
| Former Legal Business Name | FETT DERM LLC |
| Entity Type | Organization |
| Authorized Contact | SABRINA FETT President 310-720-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-09-08 |