Organization
DERMAVITA MEDISPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALENA WITWICKI (OWNER)
(425) 739-0808
Entity
Organization
Contact information
Practice address
11 LAKE ST, KIRKLAND, WA 98033-6111
(425) 739-0808
Mailing address
11 LAKE ST, KIRKLAND, WA 98033-6111
(425) 739-0808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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