Organization
SILKSKYSPA, LLC
Active
Other names
SILKSKYSPA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NYAMA JACOBI MD (MEDICAL DIRECTOR/OWNER)
(541) 668-6096
Entity
Organization
Contact information
Practice address
265 NW FRANKLIN AVE STE 203, BEND, OR 97703-2800
(541) 668-6095
Mailing address
265 NW FRANKLIN AVE STE 203, BEND, OR 97703-2800
(541) 668-6095
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/10/2024
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