Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1003617242 |
| LBN Legal business name | SKIN AID LLC |
| Authorized official | THERESA MONTECILLO - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/24/2025 |
| Last updated | 04/02/2025 - More than a year ago |
| Identifiers | n/a |
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