| NPI | 1922879956 |
|---|---|
| Former Legal Business Name | SILKSKYSPA, LLC |
| Entity Type | Organization |
| Authorized Contact | NYAMA JACOBI Medical Director/Owner 541-668-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-10 |