| NPI | 1548097983 |
|---|---|
| Former Legal Business Name | SELFLOVE WELLNESS SPA |
| Entity Type | Organization |
| Authorized Contact | YVETTE C GUTIERREZ Owner/Massage Therapist 915-282-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |