Organization
DERMACLINICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN PEREZ (CEO)
(208) 515-3349
Entity
Organization
Contact information
Practice address
7154 W STATE ST STE 397, BOISE, ID 83714-7421
(208) 515-3349
(208) 692-8388
Mailing address
7154 W STATE ST STE 397, BOISE, ID 83714-7421
(208) 515-3349
(208) 692-8388
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/03/2019
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