| NPI | 1871018325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIANA DEPP Managing Esthetician 419-322-0567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH ESTE-170641) |
| Enumeration Date | 2017-08-06 |
| Last Update Date | 2017-08-06 |