Organization
RONDEROS AESTHETICS, LLC
Active
Other names
Skin Perfection Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER K RONDEROS M.D. (M.D./OWNER)
(251) 776-1380
Entity
Organization
Contact information
Practice address
1132 HILLCREST RD, MOBILE, AL 36695-3920
(251) 776-1380
(251) 776-1381
Mailing address
1132 HILLCREST RD, MOBILE, AL 36695-3920
(251) 776-1380
(251) 776-1381
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
20619
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51544969
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
11/27/2007
Last updated
11/27/2007
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