Provider Demographics
NPI:1376958991
Name:SPA 'N' CUISINE, INC.
Entity Type:Organization
Organization Name:SPA 'N' CUISINE, INC.
Other - Org Name:GARDEN GATE DAY SPA AND SALON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDEMUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-865-8813
Mailing Address - Street 1:5 THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-7549
Mailing Address - Country:US
Mailing Address - Phone:505-865-8813
Mailing Address - Fax:505-865-4866
Practice Address - Street 1:5 THOMAS RD
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-7549
Practice Address - Country:US
Practice Address - Phone:505-865-8813
Practice Address - Fax:505-865-4866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6365225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty