Provider Demographics
NPI:1821361304
Name:UTOPIA SALON & DAY SPA
Entity Type:Organization
Organization Name:UTOPIA SALON & DAY SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLOCCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-573-4806
Mailing Address - Street 1:1503 NE 78TH ST
Mailing Address - Street 2:#2
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-9666
Mailing Address - Country:US
Mailing Address - Phone:360-573-4806
Mailing Address - Fax:360-573-4807
Practice Address - Street 1:1503 NE 78TH ST
Practice Address - Street 2:#2
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-9666
Practice Address - Country:US
Practice Address - Phone:360-573-4806
Practice Address - Fax:360-573-4807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty