Healthcare Provider Details

I. General information

NPI: 1306760566
Provider Name (Legal Business Name): RN SKIN CENTER COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

996 MIDDLE ST
WEYMOUTH MA
02188-3957
US

IV. Provider business mailing address

996 MIDDLE ST
WEYMOUTH MA
02188-3957
US

V. Phone/Fax

Practice location:
  • Phone: 781-803-2455
  • Fax:
Mailing address:
  • Phone: 781-803-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: TOBI BAKER-DAIGLE
Title or Position: OWNER
Credential: RN
Phone: 781-964-2488