Organization
DREAM CITY SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA LYNETTE WILSON LMT (CHIEF OPERATIONS OFFICER)
(704) 579-4217
Entity
Organization
Contact information
Practice address
119 TIMBER DR, GARNER, NC 27529-4878
(919) 900-8919
Mailing address
119 TIMBER DR, GARNER, NC 27529-4878
(919) 900-8919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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