Organization
ELITE AESTHETICS & DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TOUGAS-GENOVA FNP-C (NURSE PRACTITIONER)
(413) 519-5594
Entity
Organization
Contact information
Practice address
3409 CALLOWAY DR UNIT 602, BAKERSFIELD, CA 93312-2534
(661) 218-9923
Mailing address
3409 CALLOWAY DR UNIT 602, BAKERSFIELD, CA 93312-2534
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/27/2023
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