Organization
MIRACLE MASSAGE DAY SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA WHISENANT (OWNER)
(702) 755-5309
Entity
Organization
Contact information
Practice address
3415 W CRAIG RD, SUITE #209, NORTH LAS VEGAS, NV 89032-5110
(702) 636-8598
(702) 636-8592
Mailing address
3415 W CRAIG RD, SUITE #209, NORTH LAS VEGAS, NV 89032-5110
(702) 636-8598
(702) 636-8592
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NV201161157387
NV
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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