Organization
KDA & ASSOCIATES, INC.
Active
Other names
The Heavenly Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI LYNN ANTHONY (CFO)
(209) 527-6100
Entity
Organization
Contact information
Practice address
817 COFFEE RD, SUITE D, MODESTO, CA 95355-4241
(209) 527-6100
(209) 527-6107
Mailing address
817 COFFEE RD, SUITE D, MODESTO, CA 95355-4241
(209) 527-6100
(209) 527-6107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11164
CA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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