Organization
BODY NOURISHMENT WELLNESS SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA DEAN (OWNER/MASSAGE THERAPIST)
(424) 313-2932
Entity
Organization
Contact information
Practice address
151 S DOHENY DR STE 8, BEVERLY HILLS, CA 90211-2509
(424) 313-2932
Mailing address
11901 SANTA MONICA BLVD STE 654, LOS ANGELES, CA 90025-5190
(424) 313-2932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
04/30/2020
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