Provider Demographics
NPI:1134019235
Name:INVISIBLE INK SKIN SOLUTIONS
Entity type:Organization
Organization Name:INVISIBLE INK SKIN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENISA
Authorized Official - Middle Name:
Authorized Official - Last Name:STULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-964-6260
Mailing Address - Street 1:1310 WALDEN RD APT 4
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3178
Mailing Address - Country:US
Mailing Address - Phone:925-964-6260
Mailing Address - Fax:
Practice Address - Street 1:675 YGNACIO VALLEY RD STE B101
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3883
Practice Address - Country:US
Practice Address - Phone:925-964-6260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistGroup - Multi-Specialty