Breath Of Life Wellness Spa, Llc

NPI 1063752657 - Massage Therapist - 225700000X

NPI Details
NPI 1063752657
Enumeration Date 02/19/2013
Last Updated 02/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANGELA ANGELA
Position OWNER
Phone (757) 390-4136
Fax
Practice Location
5300 KEMPSRIVER DR
SUITE 106
VIRGINIA BEACH VA, 23464-5369, US
Phone (757) 390-4136
Fax
Business Location
5300 KEMPSRIVER DR
SUITE 106
VIRGINIA BEACH VA, 23464-5369, US
Phone (757) 390-4136
Fax
Toxanomy
Taxonomy Code 225700000X
License State Virginia
License Number 0019006317
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According to our database, Breath Of Life Wellness Spa, Llc NPI is 1063752657, taxonomy code is 225700000X and license number is 0019006317, license state is located at Virginia. Breath Of Life Wellness Spa, Llc physically located at 5300 Kempsriver Dr, Virginia Beach VA, 23464-5369. NPI Number 1033115704 has the healthcare provider type.

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1063752657 NPI number is provided on an as is basis without warranty of any kind. 1063752657 is maintained by the National Plan & Provider Enumeration System. The contents of Breath Of Life Wellness Spa, Llc are for informational purposes only.