Organization
SALT BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M. BRANDON CERTIFIED (HALOTHERAPIST)
(336) 970-8544
Entity
Organization
Contact information
Practice address
3570 CLEMMONS RD STE A, CLEMMONS, NC 27012-8044
(336) 293-4598
Mailing address
3570 CLEMMONS RD STE A, CLEMMONS, NC 27012-8044
(336) 293-4598
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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