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Organization
ADVANCED SKINCARE PHYSICIAN ASSISTANT CORPORATION (PAC)
Active
Organization
ADVANCED SKINCARE PHYSICIAN ASSISTANT CORPORATION (PAC)
Active
Other names
Advanced SkinCare, PAC
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE FREESEMANN PA (CEO)
(714) 879-9936
Entity
Organization
Contact information
Practice address
2720 N HARBOR BLVD STE 230, FULLERTON, CA 92835-2626
(714) 879-9936
Mailing address
2720 N HARBOR BLVD STE 230, FULLERTON, CA 92835-2626
(714) 879-9936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
02/08/2021
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