Organization
HEBER HOUSE INC. DBA DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE R. GUCCIONE (OFFICE MANAGER)
(707) 834-2400
Entity
Organization
Contact information
Practice address
2404 NEWBURG RD., FORTUNA, CA 95540
(707) 725-8770
(707) 725-8773
Mailing address
2404 NEWBURG RD., FORTUNA, CA 95540
(707) 725-8770
(707) 725-8773
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G066333
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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