Organization
DEBBIE'S DAY SPA & SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON THEED (CHIEF OPERATIONAL OFFICER)
(904) 825-0569
Entity
Organization
Contact information
Practice address
403 ANASTASIA BLVD, ST AUGUSTINE, FL 32080-4508
(904) 825-0569
Mailing address
403 ANASTASIA BLVD, ST AUGUSTINE, FL 32080-4508
(904) 825-0569
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM9360
FL
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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