NPI 1043054497
Derma Glow Med Spa Corp
Practice location
- Address
- 22237 Lorain Rd, Fairview Park, OH 44126-3315
- Phone
- (440) 641-1406
Authorised official
- Name
- Nina Kazemi Shojayi
- Title
- Medical Director
- Phone
- (440) 641-1406
Registered specialties
General Practice Physician
Primary
Registry record
- NPI
- 1043054497
- Entity type
- Organization
- NPI issued
- 20 Jun 2024
- Record last updated
- 30 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.