Organization
BLU WATER MEDI SPA SALON, INC
Active
Other names
Blu Water Spa Salon
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI JORDAN CMT (PRESIDENT)
(734) 242-4460
Entity
Organization
Contact information
Practice address
975 S MONROE ST, MONROE, MI 48161-1477
(734) 242-4460
(734) 242-4431
Mailing address
975 S MONROE ST, MONROE, MI 48161-1477
(734) 242-4460
(734) 242-4431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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