Bella Derma Spa
NPI #1033554217 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1033554217
- Entity Type
- Organization
- Organization Name
- Bella Derma Spa
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- May 1, 2013
- Last Updated
- May 1, 2013
Practice Location
- Address
- 3211 ROGERS RD
- Address 2
- SUITE 101
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-3890
- Phone
- (919) 862-4459
Authorized Official
- Name
- MS. DEMETRIA A CLARKSON, OWNER
- Title
- OWNER, LICENSED ESTHETICIAN
- Phone
- (919) 862-4459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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