Organization
MELLOW MASSAGE LTD.
Active
Other names
Mellow Massage Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERRAE L SIMONS MILLER (OWNER)
(856) 297-5085
Entity
Organization
Contact information
Practice address
4023 RIDGE AVE, PHILADELPHIA, PA 19129-1544
(856) 297-5085
Mailing address
132 E WALNUT LN, PHILADELPHIA, PA 19144-2005
(856) 297-5085
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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