NPI | 1780207894 |
---|---|
Doing Business As | SOUTHSIDE WELLNESS STUDIO |
Entity Type | Organization |
Authorized Contact | KRYSTAL NNNEKA CHUKWUEMEKA Owner,Lmt,Aesthetician 304-416-0096 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist |
Enumeration Date | 2020-05-22 |
Last Update Date | 2020-05-22 |