| NPI | 1679392641 |
|---|---|
| Doing Business As | BEND SOVEREIGN WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SAVANAH IMUS Owner 541-326-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |