| NPI | 1770263154 |
|---|---|
| Doing Business As | FANCY FLAMINGO MASSAGE |
| Entity Type | Organization |
| Authorized Contact | JEREMY STROUD Owner/ Provider 509-396-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-04-28 |