Organization
THE OBSIDIAN SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEFERTITI SCHELL (CO-OWNER)
(916) 533-8775
Entity
Organization
Contact information
Practice address
5770 S DURANGO DR, SUITE 110, STUDIO 20, LAS VEGAS, NV 89113
(702) 551-9045
Mailing address
8704 RED RIO DR UNIT 103, LAS VEGAS, NV 89128-8436
(916) 533-8775
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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