| NPI | 1366815334 |
|---|---|
| Former Legal Business Name | EMERALD LANE MASSAGE STUDIO |
| Entity Type | Organization |
| Authorized Contact | AMBER LYNN DELGER CEO 580-699-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX MT306698) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2022-11-17 |