Organization
BLUE LOTUS LUMINE HOLISTIC SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA M MARTIUS SHEPHERD SPA OWNER MINISTRY (OWNER)
(360) 259-7777
Entity
Organization
Contact information
Practice address
404 1ST ST S, SUITE H, YELM, WA 98597-1215
(360) 955-5987
(360) 955-5987
Mailing address
404 1ST ST S, SUITE H, YELM, WA 98597
(360) 955-5987
(360) 955-5987
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
603563570
WA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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