Glisten Tanning Spa & Salon, LLC

NPI #1356859540 in Yakima, Washington

Provider Information

NPI Number: 1356859540
Entity Type: Organization
Organization Name: Glisten Tanning Spa & Salon, LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jan 22, 2018
Last Updated: Jan 22, 2018

Practice Location

Address: 5603 SUMMITVIEW AVE STE 100
City: Yakima
State: Washington
ZIP Code: 98908-3018
Phone: (509) 895-7383

Authorized Official

Name: NICOLE REYES, LMP
Title: PRESIDENT, LMP
Phone: (509) 895-7383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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