Organization
ADVANCED SKIN CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH FREIHOFNER (OWNER)
(267) 738-5078
Entity
Organization
Contact information
Practice address
17 ELLIOT ST, BRATTLEBORO, VT 05301-3209
(267) 738-5078
Mailing address
112 OLD COACH RD, DUMMERSTON, VT 05301-9527
(267) 738-5099
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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