Individual
NANCY COSENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 E LUDINGTON AVE, LUDINGTON, MI 49431-2226
(231) 907-9086
Mailing address
811 E LUDINGTON AVE, LUDINGTON, MI 49431-2226
(231) 907-9086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004287
MI
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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