La Paz Salon

NPI #1659825529 in Bradenton, Florida

Provider Information

NPI Number: 1659825529
Entity Type: Organization
Organization Name: La Paz Salon
Primary Specialty: Massage Therapist
Enumeration Date: Aug 9, 2016
Last Updated: Aug 9, 2016

Practice Location

Address: 9020 58TH DR E
City: Bradenton
State: Florida
ZIP Code: 34202-6107
Phone: (610) 212-8865

Authorized Official

Name: MR. KIEL UNGER, LMT
Title: DIRECTOR
Phone: (610) 212-8865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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