Organization
BEAUTIFULLY SCARRED,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QIANA DEPP ESTHETICIAN (MANAGING ESTHETICIAN)
(419) 322-0567
Entity
Organization
Contact information
Practice address
6924 SPRING VALLEY DR STE 160, HOLLAND, OH 43528-9482
(419) 322-0567
Mailing address
6924 SPRING VALLEY DR STE 160, HOLLAND, OH 43528-9482
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ESTE-170641
OH
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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