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Individual

KIA VANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
30978 SUTHERLAND AVE, WARREN, MI 48088-5860
(248) 878-1562
Mailing address
30978 SUTHERLAND AVE, WARREN, MI 48088-5860
(248) 878-1562

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001982
MI

Other

Enumeration date
04/06/2021
Last updated
04/06/2021
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