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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