Usvi Medical Day Spa, LLC
NPI #1063787844 in St Thomas, Virgin Islands
Provider Information
- NPI Number
- 1063787844
- Entity Type
- Organization
- Organization Name
- Usvi Medical Day Spa, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 13, 2012
- Last Updated
- Mar 13, 2012
Practice Location
- Address
- 4001 RAPHUNE HILL RD
- Address 2
- SUITE 108
- City
- St Thomas
- State
- Virgin Islands
- ZIP Code
- 00802-2905
- Phone
- (340) 774-2331
Authorized Official
- Name
- RYAN D WALLACE
- Title
- MEMBER
- Phone
- (316) 258-3817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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