Organization
GREAT MASSAGE AND FACIAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN IMOSE OBAZEE LPN (CEO)
(470) 643-1175
Entity
Organization
Contact information
Practice address
100 PAVILION WAY, SOUTHERN PINES, NC 28387-4559
(910) 315-0402
Mailing address
100 PAVILION WAY STE E, SOUTHERN PINES, NC 28387-4560
(910) 315-0402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
03/11/2022
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