Organization
LEVISA MASSAGE SPA WELLNES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELANO JENNAS (MANAGING PARTNER)
(570) 977-4754
Entity
Organization
Contact information
Practice address
3104 W WATERS AVE STE 105, TAMPA, FL 33614-2876
(813) 440-3281
Mailing address
3104 W WATERS AVE STE 105, TAMPA, FL 33614-2876
(813) 440-3281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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