Organization
SOUTH BREVARD HOLISTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHESLYE PHILOCHE LMT (MASSAGE THERAPIST/MANAGER)
(321) 574-5719
Entity
Organization
Contact information
Practice address
2174 HARRIS AVE NE, SUITE 3, PALM BAY, FL 32905-4040
(321) 574-5719
(321) 952-0697
Mailing address
2174 HARRIS AVE NE, SUITE 3, PALM BAY, FL 32905-4040
(321) 574-5719
(321) 952-0697
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7823
FL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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