Organization
TUSCAN SUN SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEE MOLE LMT (MASSAGE THERAPIST)
(304) 637-1820
Entity
Organization
Contact information
Practice address
482 EMILY DR, CLARKSBURG, WV 26301-5514
(304) 637-1820
Mailing address
482 EMILY DR, CLARKSBURG, WV 26301-5514
(304) 326-2204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2002-0948
WV
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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