Organization
BALANCE STUDIO SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ANN STONE (OWNER/MASSAGE THERIPIST)
(831) 335-8335
Entity
Organization
Contact information
Practice address
912 LAKESIDE DR, FELTON, CA 95018-9648
(831) 335-8335
Mailing address
912 LAKESIDE DR, FELTON, CA 95018-9648
(831) 335-8335
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
11856
CA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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