Organization
USVI MEDICAL DAY SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D WALLACE (MEMBER)
(316) 258-3817
Entity
Organization
Contact information
Practice address
4001 RAPHUNE HILL RD, SUITE 108, ST THOMAS, VI 00802-2905
(340) 774-2331
(340) 774-2353
Mailing address
4001 RAPHUNE HILL RD, SUITE 108, ST THOMAS, VI 00802-2905
(340) 774-2331
(340) 774-2353
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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