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 |