Organization
DERMA GLOW MED SPA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA KAZEMI SHOJAYI MD (MEDICAL DIRECTOR)
(440) 641-1406
Entity
Organization
Contact information
Practice address
22237 LORAIN RD, FAIRVIEW PARK, OH 44126-3315
(440) 641-1406
Mailing address
22237 LORAIN RD, FAIRVIEW PARK, OH 44126-3315
(440) 641-1406
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/30/2024
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