Organization
DIVINE ESSENCE TOTAL BODYCARE, LLC
Active
Organization
DIVINE ESSENCE TOTAL BODYCARE, LLC
Active
Other names
Divine Essence Massage
Organization subpart
No
Provider details
NPI number
Authorized official
QUANYETTA DELGADO (LMBT, MMT)
(704) 891-8683
Entity
Organization
Contact information
Practice address
16507 NORTHCROSS DR, SUITE H, HUNTERSVILLE, NC 28078-5082
(704) 891-8683
Mailing address
16507 NORTHCROSS DR, SUITE H, HUNTERSVILLE, NC 28078-5082
(704) 891-8683
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11590
NC
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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