Organization
GLOW THEORY DERMATOLOGY INC
Active
Other names
Glow Theory - Dermatology Studio
Organization subpart
No
Provider details
NPI number
Authorized official
INSIYAH DARUGAR FNP (FAMILY NURSE PRACTITIONER)
(859) 912-1906
Entity
Organization
Contact information
Practice address
7750 EL CAMINO REAL STE F, CARLSBAD, CA 92009-8517
(888) 456-9843
Mailing address
7750 EL CAMINO REAL STE F, CARLSBAD, CA 92009-8517
(888) 456-9843
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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