Individual
JENNIFER WILLIAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11212 SHERMAN AVE, WARREN, MI 48089-3013
(313) 826-2235
Mailing address
11212 SHERMAN AVE, WARREN, MI 48089-3013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006567
MI
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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