Provider Demographics
NPI:1992402242
Name:C-BEAUTY HEALTH AND SPA LLC
Entity type:Organization
Organization Name:C-BEAUTY HEALTH AND SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:NANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-359-8925
Mailing Address - Street 1:11707 E SPRAGUE AVE STE LL101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6110
Mailing Address - Country:US
Mailing Address - Phone:509-992-4069
Mailing Address - Fax:509-242-3448
Practice Address - Street 1:11707 E SPRAGUE AVE STE LL101
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6110
Practice Address - Country:US
Practice Address - Phone:509-992-4069
Practice Address - Fax:509-242-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service