Organization
SKIN DEEP AESTHETICS, LLC
Active
Other names
Skin Deep Dermatology & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FRAUSTO NP (OWNER/ PROVIDER)
(480) 980-1968
Entity
Organization
Contact information
Practice address
1714 W GUADALUPE RD STE 201, GILBERT, AZ 85233-2943
(480) 980-1968
Mailing address
1714 W GUADALUPE RD STE 201, GILBERT, AZ 85233-2943
(480) 980-1968
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/06/2019
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