Organization
RESTORATIVE THERAPY & WELLNESS SPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATWANYA JANEA TRAYLOR NP (MANAGING MEMBER)
(214) 384-6466
Entity
Organization
Contact information
Practice address
2100 N HWY 360 STE 2007B, GRAND PRAIRIE, TX 75050-1045
(214) 384-6466
Mailing address
2100 N HWY 360 STE 2007B, GRAND PRAIRIE, TX 75050-1045
(214) 384-6466
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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