| NPI | 1992005375 |
|---|---|
| Doing Business As | NELSON DERM AT SALON LOFTS |
| Entity Type | Organization |
| Authorized Contact | JENNELL NELSON Owner 703-373-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2024-02-21 |