Organization
BLUE DOOR SPA AND SALON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLA MARY NAGY OWNER (OWNER)
(941) 720-4402
Entity
Organization
Contact information
Practice address
5234 E STATE ROAD 64, BRADENTON, FL 34208-5524
(941) 747-0111
Mailing address
5234 E STATE ROAD 64, BRADENTON, FL 34208-5524
(941) 747-0111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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