Individual
QIANA DEPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AESTHETICIAN
Contact information
Practice address
6924 SPRING VALLEY DR # 160, HOLLAND, OH 43528-9482
(419) 322-0567
Mailing address
6924 SPRING VALLEY DR # 160, HOLLAND, OH 43528-9482
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ESTE-17064
OH
207NS0135X
Procedural Dermatology Physician
ESTE-170641
OH
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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