| NPI | 1811667264 |
|---|---|
| Doing Business As | PRODERM IMAGE |
| Entity Type | Organization |
| Authorized Contact | NOEL FIGUEROA Office Manager 805-379-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |