Organization
DRIFTWOOD YOGA, SPA & BOUTIQUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE REGALADO (PRESIDENT)
(813) 476-2431
Entity
Organization
Contact information
Practice address
294 N NC 16 BUSINESS HWY STE B, DENVER, NC 28037-8741
(813) 476-2431
Mailing address
294 N NC 16 BUSINESS HWY STE B, DENVER, NC 28037-8741
(813) 476-2431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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