Organization
SHINE FUNCTIONAL DERMATOLOGY
Active
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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