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Organization
DERMA HAIR GROUP
Active
Organization
DERMA HAIR GROUP
Active
Other names
Dermatex
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANNE BORDER TRICHOLOGIST (VICE PRESIDENT)
(858) 457-5496
Entity
Organization
Contact information
Practice address
5703 OBERLIN DR STE 302, SAN DIEGO, CA 92121-1743
(858) 457-5496
Mailing address
5440 MOREHOUSE DR STE 2000, SAN DIEGO, CA 92121-6718
(858) 457-5496
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/31/2020
Last updated
07/13/2020
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