Organization
LAKE ANNA SPA LLC
Active
Organization
LAKE ANNA SPA LLC
Active
Other names
Lake Anna Spa
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DEANGELO (CO-OWNER/ MANAGER)
(540) 642-6505
Entity
Organization
Contact information
Practice address
9942 KENTUCKY SPRINGS RD STE 10, MINERAL, VA 23117-4777
(540) 642-6505
Mailing address
10706 HEATHERWOOD DR, SPOTSYLVANIA, VA 22553-1664
(540) 642-6505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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