Zenlo Dermatology, Inc.

NPI 1255513628 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1255513628
Enumeration Date 11/28/2007
Last Updated 12/04/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KAREN ROYAL KAREN
Position PRESIDEDNT
Phone (804) 934-0060
Fax (804) 934-0024
Practice Location
10120 W BROAD ST
SUITE R
GLEN ALLEN VA, 23060-6709, US
Phone (804) 934-0060
Fax (804) 934-0024
Business Location
10120 W BROAD ST
SUITE R
GLEN ALLEN VA, 23060-6709, US
Phone (804) 934-0060
Fax (804) 934-0024
Toxanomy
Taxonomy Code 302F00000X
License State Virginia
License Number 0101051656
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According to our database, Zenlo Dermatology, Inc. NPI is 1255513628, taxonomy code is 302F00000X and license number is 0101051656, license state is located at Virginia. Zenlo Dermatology, Inc. physically located at 10120 W Broad St, Glen Allen VA, 23060-6709. NPI Number 1033115704 has the healthcare provider type.

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1255513628 NPI number is provided on an as is basis without warranty of any kind. 1255513628 is maintained by the National Plan & Provider Enumeration System. The contents of Zenlo Dermatology, Inc. are for informational purposes only.