| Derma Glow Med Spa Corp | |
|
22237 Lorain Rd Fairview Park OH 44126-3315 | |
| (440) 641-1406 | |
| Not Available |
| Full Name | Derma Glow Med Spa Corp |
|---|---|
| Speciality | General Practice |
| Location | 22237 Lorain Rd, Fairview Park, Ohio |
| Authorized Official Name and Position | Nina Kazemi Shojayi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4406411406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derma Glow Med Spa Corp 22237 Lorain Rd Fairview Park OH 44126-3315 Ph: (440) 641-1406 | Derma Glow Med Spa Corp 22237 Lorain Rd Fairview Park OH 44126-3315 Ph: (440) 641-1406 |
| NPI Number | 1043054497 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043054497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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