Organization
CLEAR SKIN FOR YOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LECLAIR NP (NURSE PRACTITIONER)
(617) 256-5546
Entity
Organization
Contact information
Practice address
3213 CORPORATE CT, ELLICOTT CITY, MD 21042-2247
(410) 870-8225
Mailing address
3213 CORPORATE CT, ELLICOTT CITY, MD 21042-2247
(410) 870-8225
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
10/28/2024
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