Derma Glow Med Spa Corp
NPI #1043054497 in Fairview Park, Ohio
Provider Information
- NPI Number
- 1043054497
- Entity Type
- Organization
- Organization Name
- Derma Glow Med Spa Corp
- Primary Specialty
- General Practice
- Enumeration Date
- Jun 20, 2024
- Last Updated
- Jun 30, 2024
Practice Location
- Address
- 22237 LORAIN RD
- City
- Fairview Park
- State
- Ohio
- ZIP Code
- 44126-3315
- Phone
- (440) 641-1406
Authorized Official
- Name
- DR. NINA KAZEMI SHOJAYI, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (440) 641-1406
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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