Organization
LILY OF THE VALLEY MASSAGE LLC
Active
Organization
LILY OF THE VALLEY MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALLON HAZELETT (OWNER)
(623) 302-1357
Entity
Organization
Contact information
Practice address
3174 NW FEDERAL HWY STE 3490, JENSEN BEACH, FL 34957-4450
(623) 302-1357
Mailing address
1882 SW MACARTHUR AVE, PORT ST LUCIE, FL 34953-2460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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