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Organization
PUR ZEN WELLNESS SPA LLC
Active
Organization
PUR ZEN WELLNESS SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA SCOTT MA (LICENSED MASSAGE THERAPIST)
(407) 744-7488
Entity
Organization
Contact information
Practice address
1050 MANN ST, KISSIMMEE, FL 34741-4121
(407) 744-7488
Mailing address
1050 MANN ST, KISSIMMEE, FL 34741-4121
(407) 744-7488
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
CH9671
FL
225700000X
Massage Therapist
Primary
MA61445
FL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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