Organization
SAP AND SOUL DAY SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNTAE LANA BAILEY MASSAGE THERAPIST (CEO)
(910) 859-0667
Entity
Organization
Contact information
Practice address
920 PAVERSTONE DR STE B, RALEIGH, NC 27615-4723
(919) 228-8501
Mailing address
5129 CHASTEAL TRL, RALEIGH, NC 27610-6421
(919) 616-9252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
05/24/2024
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