Bella Derma Spa

NPI 1033554217 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1033554217
Enumeration Date 05/01/2013
Last Updated 05/01/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DEMETRIA A DEMETRIA
Position OWNER, LICENSED ESTHETICIAN
Phone (919) 862-4459
Fax
Practice Location
3211 ROGERS RD
SUITE 101
WAKE FOREST NC, 27587-3890, US
Phone (919) 862-4459
Fax
Business Location
3211 ROGERS RD
SUITE 101
WAKE FOREST NC, 27587-3890, US
Phone (919) 862-4459
Fax
Toxanomy
Taxonomy Code 302R00000X
License State North Carolina
License Number E5619
Remove 1033554217 NPI Number
 

According to our database, Bella Derma Spa NPI is 1033554217, taxonomy code is 302R00000X and license number is E5619, license state is located at North Carolina. Bella Derma Spa physically located at 3211 Rogers Rd, Wake Forest NC, 27587-3890. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1033554217 NPI number is provided on an as is basis without warranty of any kind. 1033554217 is maintained by the National Plan & Provider Enumeration System. The contents of Bella Derma Spa are for informational purposes only.