Organization
GLOWTOX AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MARQUEZ-CARLES NP (SECRETARY)
(707) 318-5424
Entity
Organization
Contact information
Practice address
910 GRAND AVE STE 203-204, SAN DIEGO, CA 92109-4046
(707) 318-5424
Mailing address
1134 REED AVE, SAN DIEGO, CA 92109-5106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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