Organization
ARVESSA SKIN CARE CENTER LLC
Active
Organization
ARVESSA SKIN CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRY COLE APRN-BC (NURSE PRACTITIONER/OWNER)
(304) 261-9038
Entity
Organization
Contact information
Practice address
710 SOMERSET BLVD STE 103, CHARLES TOWN, WV 25414-4998
(304) 261-9038
Mailing address
109 CHAGALL LN, MARTINSBURG, WV 25403-8317
(304) 261-9038
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
05/17/2021
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