Organization
MILLENNIUM SALON AND SPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA M PREAT NCMMT (VICE PRESIDENT MASSAGE THERAPIST)
(570) 823-0654
Entity
Organization
Contact information
Practice address
299 S MAIN ST, WILKES BARRE, PA 18701-2201
(570) 823-0654
(570) 270-0449
Mailing address
299 S MAIN ST, WILKES BARRE, PA 18701-2201
(570) 823-0654
(570) 270-0449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1186
PA
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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