Organization

Glisten Tanning Spa & Salon, Llc

May also be knows as Glisten Tanning Spa & Salon

Massage Therapist in Yakima, WA(View on Map)

Legal Business Name

Glisten Tanning Spa & Salon, Llc

Also Known As

Glisten Tanning Spa & Salon

NPI Number

1356859540

NPI Type

Organization

Enumeration Date

01/22/2018

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

MA60523229

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 8051
5603 SUMMITVIEW AVE STE 100

City

Yakima
Yakima

State

WA
WA

Postal Code

98908-0051
98908-3018

Country

US
US

Telephone Number

(509) 469-1903
(509) 895-7383

Authorized Official

Name

Nicole Reyes

Title or Position

PRESIDENT, LMP

Telephone Number

(509) 895-7383

Identifiers

Identifier

604042951

Identifier State

WA

Identifier Issuer

UBI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/22/2018

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