| NPI | 1548611569 |
|---|---|
| Doing Business As | DERMA MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | AMANDA BERG Spa Director 360-350-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |