Provider Demographics
NPI:1114799806
Name:VAYLA WELLNESS, LLC
Entity Type:Organization
Organization Name:VAYLA WELLNESS, LLC
Other - Org Name:VAYLA'S NAILS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PHUONG THANH
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-358-8535
Mailing Address - Street 1:4909 E HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-6233
Mailing Address - Country:US
Mailing Address - Phone:850-358-8535
Mailing Address - Fax:
Practice Address - Street 1:4909 E HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-6233
Practice Address - Country:US
Practice Address - Phone:850-358-8535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty