Provider Demographics
NPI:1013690411
Name:YOUR AURA OASIS LLC
Entity Type:Organization
Organization Name:YOUR AURA OASIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:DUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:951-966-0547
Mailing Address - Street 1:10300 BEAUMONT AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CHERRY VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92223-4482
Mailing Address - Country:US
Mailing Address - Phone:951-966-0547
Mailing Address - Fax:
Practice Address - Street 1:10300 BEAUMONT AVE
Practice Address - Street 2:STE B
Practice Address - City:CHERRY VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92223-4482
Practice Address - Country:US
Practice Address - Phone:951-966-0547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty