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Individual

MYA SANDERS

Active
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Individual

MYA SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
57499
MI
133N00000X
Nutritionist
1424568
MI
173C00000X
Reflexologist
UCJFQNS5FD
MI
173C00000X
Reflexologist
Primary
—
—
174400000X
Specialist
1424567
MI

Other

Enumeration date
02/08/2021
Last updated
02/08/2021
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