Organization
SHINE FUNCTIONAL DERMATOLOGY
Active
Other names
Phototherapy Training Institute, Association of Phototherapy Professionals, Shine Phototherapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRINE M VARMAN MD (MD/OWNER)
(916) 953-3812
Entity
Organization
Contact information
Practice address
566 E ST, LINCOLN, CA 95648-1861
(916) 645-1447
(916) 645-1447
Mailing address
566 E ST, LINCOLN, CA 95648-1861
(916) 645-1447
(866) 502-3465
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207N00000X
Dermatology Physician
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
11/23/2021
Last updated
10/24/2023
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