Organization
FEELING BEAUTIFUL AGAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORINNE DEROSALES (OWNER)
(707) 399-8511
Entity
Organization
Contact information
Practice address
1916 NEW JERSEY STREET, FAIRFIELD, CA 94533
(707) 399-8511
(707) 434-9826
Mailing address
1916 NEW JERSEY STREET, FAIRFIELD, CA 94533
(707) 399-8511
(707) 434-9826
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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