Organization
HAILE VILLAGE SPA & SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN VILARDELL (SPA DIRECTOR/SPA MANAGER)
(352) 335-5025
Entity
Organization
Contact information
Practice address
5207 SW 91ST TER, GAINESVILLE, FL 32608-7125
(352) 335-5025
(352) 335-2445
Mailing address
5207 SW 91ST TER, GAINESVILLE, FL 32608-7125
(352) 335-5025
(352) 335-2445
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MM 29063
FL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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