| NPI | 1609274018 |
|---|---|
| Former Legal Business Name | DIVINE ESSENCE MASSAGE |
| Entity Type | Organization |
| Authorized Contact | QUANYETTA DELGADO Lmbt, Mmt 704-891-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 11590) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |