Salt Beach LLC

NPI #1922855592 in Clemmons, North Carolina

Provider Information

NPI Number: 1922855592
Entity Type: Organization
Organization Name: Salt Beach LLC
Primary Specialty: Clinic/Center - VA
Enumeration Date: May 2, 2024
Last Updated: May 2, 2024

Practice Location

Address: 3570 CLEMMONS RD STE A
City: Clemmons
State: North Carolina
ZIP Code: 27012-8044
Phone: (336) 293-4598

Authorized Official

Name: ANGELA M. BRANDON, CERTIFIED
Title: HALOTHERAPIST
Phone: (336) 970-8544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Clinic/Center - VA — VA	261QV0200X	Primary

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