Shine Functional Dermatology

NPI #1205593316 in Lincoln, California

Provider Information

NPI Number: 1205593316
Entity Type: Organization
Organization Name: Shine Functional Dermatology
Primary Specialty: Dermatology
Enumeration Date: Nov 23, 2021
Last Updated: Oct 24, 2023

Practice Location

Address: 566 E ST
City: Lincoln
State: California
ZIP Code: 95648-1861
Phone: (916) 645-1447

Authorized Official

Name: DR. KATHRINE M VARMAN, MD
Title: MD/OWNER
Phone: (916) 953-3812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Integrative Medicine	202D00000X
Specialist/Technologist, Other	246Z00000X
Dermatology	207N00000X	Primary

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