Blue Lotus Lumine Holistic Spa
NPI #1366994196 in Yelm, Washington
Provider Information
- NPI Number
- 1366994196
- Entity Type
- Organization
- Organization Name
- Blue Lotus Lumine Holistic Spa
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Oct 27, 2016
- Last Updated
- Oct 27, 2016
Practice Location
- Address
- 404 1ST ST S
- Address 2
- SUITE H
- City
- Yelm
- State
- Washington
- ZIP Code
- 98597-1215
- Phone
- (360) 955-5987
Authorized Official
- Name
- MRS. CLAUDIA M MARTIUS SHEPHERD, SPA OWNER MINISTRY
- Title
- OWNER
- Phone
- (360) 259-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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