| NPI | 1174386155 |
|---|---|
| Former Legal Business Name | FABSILHOUETTE |
| Entity Type | Organization |
| Authorized Contact | ANA C VELAZCO Owner/ COO 201-402-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |