Body del Sol Medical Spa
Organization Active NPI Naturopath · Fresno, CA
NPI 1588097968 · NPPES record last updated Aug 20, 2013
Key facts
- NPI
- 1588097968
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Naturopath 175F00000X
- License
- A267286 (CA)
- Legal business name
- BODY DEL SOL MEDICAL SPA
- Practice address
- 1648 E Herndon Ave
Suite 106
Fresno, CA 93720-3381 - Phone
- (559) 432-7222
- Fax
- (559) 432-7541
- NPI assigned
- Aug 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Ayde Mendibles, LE, MBA, RN
- Title
- Director of Spa Operations
- Phone
- (559) 432-7222
Practitioners 4
-
Veronica M Davis, LC, MA, CHLP
-
Ayde Adame Mendibles, LE, LVN
-
Trish L Pruitt, CMT
-
Le' Zette J Traudt, CMP
National Provider Directory
Locations
1648 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 432-7222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath |
175F00000X | A267286 | CA | Yes |
Addresses
Primary practice location
1648 E Herndon Ave
Suite 106
Fresno, CA 93720-3381
Mailing address
1648 E Herndon Ave
Suite 106
Fresno, CA 93720-3381
Phone (559) 432-7222
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.