Organization
BALANCE DAY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL PAUL MABRY LMP (OWNER/ MASSAGE PRACTITONER)
(360) 427-3189
Entity
Organization
Contact information
Practice address
117 N 8TH ST, SHELTON, WA 98584-2564
(360) 427-3189
Mailing address
117 N 8TH ST, SHELTON, WA 98584-2564
(360) 427-3189
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA00014205
WA
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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