Organization
DERMA PLLC
Active
Other names
Derma Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BERG (SPA DIRECTOR)
(360) 350-5321
Entity
Organization
Contact information
Practice address
3025 LIMITED LN NW, SUITE 100, OLYMPIA, WA 98502-2613
(360) 350-5321
Mailing address
3025 LIMITED LN NW, SUITE 100, OLYMPIA, WA 98502-2613
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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