Organization
THE MAGNOLIA DAY SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE MIYORI MINOR LMT # 2004 (LICENSED MASSAGE THERAPIST / OWNER)
(662) 390-4920
Entity
Organization
Contact information
Practice address
4280 HARLOW BLVD, GREENVILLE, MS 38701-6604
(662) 390-4920
Mailing address
4280 HARLOW BLVD, GREENVILLE, MS 38701-6604
(662) 390-4920
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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