Organization
SACRED HANDS MASSAGE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAE DORVAL LMT (OWNER/MASSAGE THERAPIST)
(401) 824-9897
Entity
Organization
Contact information
Practice address
719 FRONT ST, SUITE 107, WOONSOCKET, RI 02895-5287
(401) 769-4263
(401) 921-4499
Mailing address
719 FRONT ST, SUITE 107, WOONSOCKET, RI 02895-5287
(401) 769-4263
(401) 921-4499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT01868
RI
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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