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Organization

GLOW DISTRICT MEDSPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YESIKA YOHANA ORTIZ VELEZ (OWNER)
(747) 324-7797
Entity
Organization

Contact information

Practice address
1714 W MAGNOLIA BLVD STE 101, BURBANK, CA 91506-1840
(747) 324-7797
Mailing address
1714 W MAGNOLIA BLVD STE 101, BURBANK, CA 91506-1840
(747) 324-7797

Taxonomy

Speciality
Code
Description
License number
State
261QA3000X
Augmentative Communication Clinic/Center
Primary

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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