Summersville Skin Care Center INC
NPI #1346316395 in Summersville, West Virginia
Provider Information
- NPI Number
- 1346316395
- Entity Type
- Organization
- Organization Name
- Summersville Skin Care Center INC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Jul 21, 2011
Practice Location
- Address
- 818 ARBUCKLE RD
- City
- Summersville
- State
- West Virginia
- ZIP Code
- 26651-1704
- Phone
- (304) 872-3654
Authorized Official
- Name
- DELORES A LUCKY, RNC-FNP
- Title
- NURSE PRACTITIONER
- Phone
- (304) 872-3654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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