Organization
SPA BLU
Active
Other names
Spa Blu, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA DUMBLETON LMT (OWNER/LMT)
(850) 231-5784
Entity
Organization
Contact information
Practice address
57 UPTOWN GRAYTON CIR STE A, SANTA ROSA BEACH, FL 32459-8814
(850) 231-5784
(850) 231-4718
Mailing address
57 A UPTOWN GRAYTON CIRCLE, GRAYTON BEACH, FL 32459
(850) 231-5784
(850) 231-4718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM16325
FL
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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