Organization
THE GLAM STATION AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE BONNER LMT (CEO)
(662) 549-3330
Entity
Organization
Contact information
Practice address
326 MILITARY RD, COLUMBUS, MS 39701-4670
(662) 798-0150
Mailing address
326 MILITARY RD, COLUMBUS, MS 39701-4670
(662) 798-0150
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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