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Organization
TERRA ACQUA DAY SPA INC
Active
Organization
TERRA ACQUA DAY SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE WILLIAMS HEALTHCARE (MANAGEMENT)
(386) 671-1661
Entity
Organization
Contact information
Practice address
2700 N ATLANTIC AVE, DAYTONA BEACH, FL 32118-3005
(386) 671-7661
Mailing address
2700 N ATLANTIC AVE, DAYTONA BEACH, FL 32118-3005
(386) 671-7661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM28224
FL
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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