Dominique Loggins, ESTHETICIAN Valid NPI

Individual provider · Dermatology Physician · Royal Oak, MI

NPI

1376201848

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

2705016900 (MI)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-12-02

Last updated

2021-12-02