NPI | 1629362249 |
---|---|
Doing Business As | SANDERS SKIN CARE CENTER |
Entity Type | Organization |
Authorized Contact | SUSAN F SANDERS Owner 970-375-1707 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 28524) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2012-01-31 |