Organization
SOUTHCOAST DERMALGRAPHICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A WORKMAN RN (OWNER)
(508) 789-5104
Entity
Organization
Contact information
Practice address
192 B SOUTH MAIN ST, ACUSHNET, MA 02743
(508) 817-7026
Mailing address
PO BOX 30165, ACUSHNET, MA 02743-0165
(508) 817-7026
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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