ADVANCED DERMATOLOGY SURGERY CENTER, INC
Ambulatory Health at Fresno St, Fresno, CA

License number
California G43958
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: JANE FLORA KARDASHIAN M.D.
Title: PHYSICIAN OWNER
Phone: (559) 435-0337
Address
Address
6769 N Fresno St, Fresno, CA 93710
National Provider ID: 1346373271
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADVANCED DERMATOLOGY SURGERY CENTER, INC

6769 N Fresno St, Fresno, CA 93710

Registration:
Jan 31, 2007
State ID:
C2964788
Business type:
Articles of Incorporation
President:
Jane F. Kardashian (President)
Agent:
Jane F Kardashian,Fresno, CA 93710 (Physical)

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